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I write every day about living with bipolar disorder, also known as manic depression. I've written and published more than 1.3 million words

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What Does Winning Look Like?

5 min read

This is a story about knowing when to stop...

Land of Legends

By no later than the age of 17 or 18, I had figured out that life was a miserable rat race, which was unwinnable, and that all jobs were equally awful. I made the decision to focus on earning as much as possible, to make my leisure time as good as it could possibly be; I made the decision to work as little as possible, get paid as much as possible, in terms of "hourly rate" if you like: for sure, there are some very well paid investment bankers and corporate lawyers, but they work 100+ hour weeks. If I can work for 25 or so hours of the week, mostly just reading the news and otherwise browsing the web, but get paid a salary which is not inconsiderably different, then I am the higher paid in relative terms.

I made a decision, and quite a sensible one, to move to the seaside. I was able to continue my London investment banking career, but I could also go kitesurfing before work, at lunchtimes and after work. I could have barbecues on the beach. I could play beach volleyball. I could have a boat and go wakeboarding, whenever I wanted. It was, without a doubt, one of the best decisions I ever made.

But.

Burnout and depression, precipitated by the very driven and determined part of my personality, which I can never quite tame, led to to me finding myself too unwell to work.

The next part of my life was not well planned. I did very well from some speculative ventures, and I also managed to do very well with some other coastal companies who needed my consultancy skills. I still had my boat. I still had my barbecues. Life was still very good.

However.

Having spent a very long career (11 years at this point) hating every single second of the rat race, and having had some success with speculative entrepreneurial ventures, I wanted to "be my own boss" for once.

Big mistake.

More than anything in the world, I hate business administration. I'm an engineer: I want to design and build cool stuff. I don't want to be bothered with bureaucracy. I want to concentrate on elegant solutions to difficult problems.

So, I didn't really enjoy doing my first proper tech startup. I wanted all the wealth and security of what I'd done before, plus the freedom to do some nice engineering, but instead I had to deal with customers and investors. I hated it. I hated my business, which I had no passion for: it was just a cash cow, and a stupid idea, in terms of giving me the lifestyle that I wanted.

What does winning look like?

That question was really easy to answer, once upon a time: to live near the beach, and to be able to go kitesurfing whenever I wanted, and to have enough money to travel the world, going kitesurfing wherever the wind was best at that time of year.

I did, literally, live the dream for a while.

What does winning look like, now, today?

I have no idea.

I know that I need to find another passion again, which I hope I have done with mountain biking, but it's difficult because it's such a dangerous injury-prone sport, and I'm not a young man anymore.

I know that I need to find something which brings social contact; a network of like-minded individuals. It's difficult, because I've only ever known that to come about through my particular passion.

I think that a high standard of living is part of it - nice holidays and meals - but at the same time, one of the happiest times of my life was when I was homeless, destitute and sleeping rough.

appear to have a lot of options. I was, for example, able to go to Turkish Disneyland, completely on a whim, because I needed a holiday and had no other inspiration. There was a water park, rollercoaster rides, and the whole place was delightful, including the themed hotel, which was meant for kids but was absolutely amazing for adults: who wouldn't want a Playstation and massive projector screen in their hotel room, for example?

I've tried and failed with a few relationships in recent years. Frankly, that's been more to do with the extreme pressure I've been under in other areas of my life, to stabilise my finances, and rebuild my professional reputation, after a rocky period due to repeated illnesses; hospitalisations... and of course, unstable mental health. My priority has been rebuilding my bank balance, and making myself look employable again; delivering some high-quality work.

What does winning look like now? Well, I have the world's best cat - a beautiful ragdoll girl - and a 3.5 bedroom house with 2 reception rooms, all in very grand proportions, for her to run around in. I live in one of the most desirable parts of Cardiff, next to botanical gardens and a massive lake. I can cycle from my house to mountains or lakes. I've got it all, except for a partner and a [local] social support network. It sounds like I've got it all, but as I lay dying of multiple organ failure on the floor a year ago, I knew that I'm a hermit; a recluse. The lack of any social glue, sticking me to life, is going to prove fatal.

I'm not complaining... of course, I get to live a very exciting life, although most of it is extremely lonely but that's necessary as part of the journey I'm on... even though I don't know where I'm going. All I know is: if you have a lot of money, you have a lot more choices, and you have a lot more fun; less stress.

I'm sorry if you find this boastful or otherwise churlish.

 

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The End is Nigh

4 min read

This is a story about the finish line...

Marathon

My idea of 'winning' is very different from most other people's I think. Well, actually, on reflection, we are agreed on what would constitute 'winning' but most other people have decided to lower their standards, and call something else 'winning'.

Let me give you a breakdown:

Having a house is something which everybody wants. I want to have a house. Other people want to have a mortgage: the bank will own the house, and allow the person who pays the mortgage to live there, but it's not the same as having a house.

Retirement is something which everybody wants. I want to retire. Other people want to collect a pension: the pension will be woefully inadequate, so the people who are collecting their pitiful pensions will have a new job, which is trying to make their meagre funds stretch to pay for their needs, which is not the same as retiring.

Financial independence is something which everybody wants. I want to be financially independent. Other people want credit cards which aren't maxed out, and a small pot of savings - enough for a holiday or a minor improvement to part of the bank's house - which is not the same as financial independence.

Freedom is something which everybody wants. I want to be free. Other people want to be told when and where they should be, for the majority of their time, and otherwise controlled by the limits of their meagre finances.

All I want is everything.

That's all.

Of course, we can all agree that owning a house - outright with no mortgage - not having a salaried job, having enough money in the bank to last you for the rest of your natural life (at a high living standard) and otherwise being free from any commitments or other coercion, would be the dictionary definition of 'winning' right?

So, why then do I sound so ludicrous when I say "that is what I want"? Why does it sound so implausible? Why does it sound so impossible; such an unattainable fantasy?

I'm getting close.

I'm getting really close.

But.

My version of 'winning' is a shit version of 'winning'. I will buy a shit house. I will live in a shit part of the world. I will not be able to live for very long, at a reasonable standard of living, before I run out of money. My freedom will cost me the ultimate price: premature death.

Is that so bad, premature death? Many people who pay off their mortgage and retire, do not live for very long. Are they 'winners'? Obviously not.

To win the game, you have to have spent more years of freedom, financially independent, retired and living in a house you own, than anybody else. The winner is the person who spends the most years in that situation. There are no prizes for paying off your mortgage, retiring, and having a huge pot of savings, when you are 65 years old, and you die 16 years later, having spent most of that time with no freedom at all because you are old and sick and dying.

In terms of quality-adjusted life years, if I spend just 8 years with good health, right now, I will have achieved more than 16 years with arthritis, dementia, cataracts, deafness, incontinence, heart disease, lung disease, diabetes... not to mention the vastly diminished energy levels, fragility of my body, and far greater length of time for any injury to heal.

Why wait?

I don't need to wait until I'm pensionable age to take advantage of my health. In fact, to wait would be incredibly foolish, because it's inevitable that my health will deteriorate, and there's an ever-increasing chance of death. How stupid it would be, to die before retirement, or soon after.

Sadly, there's a finite limit to the length of my early retirement, which dictates that my life must be cut short, artificially, in order to yield the high-quality years of freedom which I quite rightfully demand. There's a price to be paid, and I will pay the ultimate price on a pre-chosen day, in the not-too-distant future. However, don't be sad... everyone dies you stupid cunt.

 

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Invasive Thoughts

4 min read

This is a story about Tourette's...

Surveillance owl

I struggle with invasive thoughts. The thoughts are so traumatic that they cause me to wince and yell. I shout out in pain and shock when the thoughts hit me. It makes me appear like I have a tic.

What is a tic anyway?

Somebody who suffers with Tourette's is able to suppress their tic for a brief period, but then they have to let it out; to scratch the itch, as it were. I'm not claiming to have Tourette's of course, but I have some of the symptoms.

I live alone - except for my cat - in a big old house with thick walls, so I can shout out when I get hit by the invasive thoughts, and I'm mostly not bothering anybody. Sometimes I go out for a walk and I can't control the thoughts, so I yell out and flinch - tic - while I'm walking down the road. If anybody sees me, they must think that I'm very strange.

I can control my tic - mostly - when I'm in a work setting. Sometimes it gets the better of me and I mutter something or flinch in the company of my colleagues. They mostly don't notice or comment, but sometimes they do, occasionally.

I don't particularly try to control my tic when I'm with my girlfriend. We're usually in a relaxed private setting anyway, so I don't have to concentrate on controlling it as much as I can. The invasive thoughts, yelling, yelping, flinching, grimacing and other things too, happen all the time. It's fairly disconcerting to anybody who's not spent time in the company of somebody with the particular neurological complaint.

I won't be seeking any medical help for the problem. It seems to be exacerbated by alcohol, or rather by withdrawal from alcohol, so the solution is to either drink all the time, or not drink at all. I need to lose some weight and get healthier, so I am choosing the latter at the moment. It's not a severe and debilitating enough problem to seek medical help.

You know when you lie awake at night and you start remembering lots of embarrassing memories? Imagine that, except that it happens from the moment you wake up until the moment you go to sleep, and the memories are so traumatic they feel like they're causing you physical pain. That's what my invasive thoughts are like.

I might have Post-Traumatic Stress Disorder (PTSD). It seems likely. Given the severity of the trauma I've experienced, and the long-lasting problems I'm having as a result of it, it seems like the most probable thing. It's well beyond "embarrassing memories".

The thoughts don't particularly bother me; they're fleeting. Of course, I'd rather that I didn't yell, grimace, flinch and otherwise react to the severe traumatic flashbacks, but the damage is done and there's nothing much I can do about it. My life is - on the whole - unaffected by the invasive thoughts, given that they are short sharp shocks and not bothering me except for those unpredictable but frequent instants.

I wonder if I've got brain damage, but the question is a bit of a non-sequitur. The brain is a plastic organ, so it's continuously adapting; I definitely don't have a traumatic brain injury or any impairment to suggest any lasting permanent physical damage which my brain hasn't been able to adapt to, and doesn't continuously continue to adapt to.

There have been plenty of incidents which are bound to have damaged my organs, but my physical health seems mostly OK. Of course my kidneys and heart are a worry, and my general fitness levels have dropped to a really bad level, but I'm working on getting fitter.

In the course of writing this, I haven't been bothered by invasive thoughts at all; they only bother me when I'm bored. I like to keep busy. I like to keep my mind occupied. If my brain is active then it doesn't have time for invasive thoughts.

 

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How To Kill Yourself - Part Two

12 min read

This is a story about worst-case scenarios...

The wall

I've brought you here under somewhat false pretences. Possibly you have read what I wrote on suicide methods and have decided to continue reading. Perhaps you haven't read anything I've written before, and an internet search has brought you here. Either way, I kinda lied: this is much more about why to kill yourself than how.

Why kill yourself?

Good question.

If you're reading this, then I'm sure you have your reasons. Perhaps you don't need me to explore the many reasons why, but I'm going to anyway, because you didn't need me to write about all the suicide methods in detail either, but I did and thousands of people read it every day.

It's because so many thousands are reading what I wrote about suicide methods that I felt I should follow up with something about why to kill yourself. I hope you will forgive me if you feel I have brought you here under false pretences, but anyhoo, let's begin.

 

Why Should You Kill Yourself?

You shouldn't.

The end.

 

Just kidding.

Unless we acknowledge that there are very real and valid reasons why people kill themselves, then we are gaslighting. We can't pretend that people don't commit suicide, and that those people didn't have good reasons for doing it. People don't just do stuff for no reason. To pretend like there weren't reasons - and there isn't justification - is disingenuous and unkind to those who have died, and unkind to those who are suffering suicidal thoughts.

So, excuse my jocularity. I'm quite serious. We need to talk about why you would kill yourself.

 

Breakup/Divorce

We've got to start somewhere, so why not with a relationship ending; a broken heart? There's little more gut-wrenchingly sad than losing the love of our lives. Many suicides will be prompted by a breakup, so we need to discuss this. I needed to start somewhere, so this is what I've chosen.

First, we need to acknowledge what love is: a combination of serotonin, oxytocin and dopamine that's released in the brain in order to foster human bonding, sex and produce children; it's a biochemical trick created by our genes, in order to get us to make more copies of the genes.

Is it sad when we get our hearts broken? Yes. Incredibly.

Is it the end of the world? Will we be sad forever? No. Get another girlfriend/boyfriend/significant-other and your heart will soon mend.

Of course, we need to acknowledge that it's absolutely terrifying - as well as a massive inconvenience - to be thrust back into the world of dating. As we get older and fatter, we feel increasingly insecure, and we fear dying alone. Of course, nobody wants to feel fat, old and desperate, fearful of dying alone. I can totally relate to the feeling that I'd rather die than suffer the agony of dating, and the knock-backs; to be thrust back into the crappy world of adolescence with all its accompanying awkwardness, uncertainty and insecurity. "Does he/she like me?" we wonder to ourselves, in seemingly eternal torment.

In my opinion, a breakup is no reason to commit suicide, because - although inconvenient and awful - it's possible to mend your heart by meeting somebody new.

 

Bereavement

Okay, so I didn't really cover the death of a loved one in the breakup/divorce section, so I'll cover the death of a partner in this section. The answer is pretty much the same, but I do make an exception for childhood sweethearts who've lived into old age. I'm not suggesting that everyone who's been in a super long-term relationship should be in a suicide pact, but it's understandable that after a certain age and many decades of happy marriage/civil-partnership, that life could continue with somebody new is almost unthinkable. Where to draw the line is not up to me, but I feel certain that being a geriatric widower is not how I plan on spending the last years of my life.

Am I advocating for suicide for bereaved older people? Absolutely not. I'm just saying that I can totally understand why heartbroken seniors might decide that their reason for living expired when they lost the love of their lives.

Death of a pet. Sad but no.

Death of a friend. Sad but no.

Death of a parent. Sad (most of the time) but no.

Death of a child... oh damn. Where to begin? Well, we must acknowledge that the grief would be exceptional, and the guilt no doubt. The thing which would never be uttered, but must be discussed, would be the feeling that time's run out to make another kid, mixed up with all the same fears about fertility, carrying the baby to full term, giving birth, having a healthy child etc. All those horrible emotions would have to be re-lived, with the accompanying magnifying effect of knowing how devastating it was to actually lose a child, or - god forbid - children.

It seems quite understandable to me that some horrendous combination of bereavement, such as losing your whole family in some kind of accident, would be far too much to bear. Sure, plenty of people have had tragedies in their lives, and gone on to rebuild their lives with somebody else. That's not to say that everyone can or should. I can totally understand why bereavement(s) would be a reason to commit suicide, and although I can see that many people have been able to get over the tragedy, I don't think it's right to say that suicide should never be considered.

Usual caveats apply: I don't condone or encourage suicide, but I do understand why people kill themselves, although I desperately want a zero suicide world.

 

Debt, Financial Ruin; Destitution etc

It feels a bit wrong to put debt on a par with the death of a child, but it's also right - debt can destroy lives just as effectively as a road traffic accident. We need to acknowledge how life-destroying debt is, because it can wreck so much more than a person's credit rating.

First, let's talk about the very real, and very devastating consequences of financial difficulties: loss of status, loss of home, loss of relationships... loss of freedom; agency. To have a bad credit rating is to become a leper - unable to buy or rent a house, buy a car, get a job. "Get a job?" you ask... yes, that's right - many jobs will check a person's credit rating and/or ask if they've ever declared bankruptcy. Bankrupts are shunned from almost all parts of society, such that they're ruined for life; unable to get a decent job and therefore shut out of every aspect of ordinary life. That's a bad deal. That's a rough gig.

Without your house, your car, your job and the other accompanying status symbols, how are you going to provide for your family? It follows that you'll be ditched by your partner and your kids; labelled as a loser. This is how people lose everything, not just their credit rating.

Debt is life-destroying.

Okay, so I'm probably laying it on a bit thick. However, this is all the stuff that is on the mind of the poor suffering individual who is struggling with debt, and has decided to commit suicide. Having been hounded by debt collectors, bailiffs and other parasites/vultures, people are driven to end their own lives rather than suffer any more stress, loss, ruin and distress. I empathise.

Although bankruptcy and financial ruin are devastating, the process of being financially destroyed is worse than being destitute. Being destitute is quite liberating. Having struggled with debts for years, being hounded by creditors and other leeches, once the bankruptcy process - or some other kind of insolvency procedure - is in motion, the creditors can't harass you anymore. You'll get an opportunity to rebuild yourself, albeit with the impediment of the black mark on your records. Plenty of people function without credit cards, car loans, mortgages and other financial instruments, and many of them are very successful. In fact, many entrepreneurs talk about their bankruptcies as badges of honour; they're proud of their failures.

I think loss of status is not to be underestimated. If you're used to having a nice house, car, and being a provider for your family, there is an incalculable amount of shame, bitterness and regret, which is almost impossible to deal with. Losing everything is not easy, and we should acknowledge how fatal it can be; how it can be the worst thing in the world to have your life fall apart. Saying stuff like "it's only money" is profoundly unhelpful, because money is such an intrinsic inseparable part of modern life. We shouldn't forget that wealth and status are the things which allow us to get an attractive partner, as well as to feel good about ourselves.

Killing yourself because of bad debt or financial problems seems like the most ridiculous thing to do, but in fact it's one of the hardest things to deal with, because it's such a taboo to talk about financial difficulties and debt. Debts are so toxic to our mental health, keeping us awake at night, and causing us untold anxiety, as we fear the domino-like collapse of our entire lives - job loss leads to defaulting on our mortgage, leads to our house being repossessed, leads to bankruptcy and destitution, as sure as night follows day.

Yes. Debt and financial difficulties cause suicides, in vast numbers. We need to acknowledge that's true. I wish it weren't true, but it is.

The solution? Be prepared to be destitute. Treat it as an adventure. Be a tramp. Enjoy the freedom of it.

 

Injury, Sickness and Disability

Chronic illness, chronic pain and other lifelong conditions - such as diabetes and kidney failure - have a devastatingly detrimental effect on our quality of life, and to pretend otherwise would be dishonest. However, we are notoriously bad at estimating how bad it's going to be. For example, people with type one diabetes, who are insulin dependent and who must closely monitor their blood sugar, are able to adapt and report far higher quality of life than their initially pessimistic outlook. However, people who require dialysis because of kidney failure, often vastly underestimate how badly their quality of life is going to be affected.

Many people would say that they would want their life support to be switched off if they were paralysed - quadriplegic - but there are well documented cases of people reversing the decision in their advanced directive such that they have indicated that they wanted to be kept alive by machines, most famously by a man who was only able to blink in order to communicate.

However, we must be realistic. In the vast majority of cases, people who are suffering incredibly awful lives, because of chronic pain and other suffering, who've had their reasons to live snatched away by some cruel twist of fate, which has rendered them incapable of ever enjoying a minimum quality of life, are absolutely entitled to reserve their right to die. I must make it absolutely clear: I am pro-euthanasia.

Another thing I must make clear is that I'm well aware that there are very many people who live full and happy lives, despite sickness and/or disability. I am absolutely not an ableist who believes that only the able bodied have a reason to live, and everybody else is somehow less worthy of life and happiness. I am absolutely not saying that - for example - being unable to walk is always a reason to commit suicide.

Nothing could be more personal than weighing up the pros and cons of our own unique situation, and arriving at a decision of whether it is better to be dead or alive. I can't make that decision for anybody, but we should definitely consider that it is very difficult to face a life which promises nothing other than pain and suffering, and regret, sadness and resentment, that we are no longer able to enjoy the things which we used to, in the past.

 

Everything Else

There are an infinite number of reasons why we might kill ourselves, which might include things such as martyrdom, infamy, to hurt people and other motivations. Suicide can be weaponised, and it often is, especially by marginalised, oppressed and otherwise powerless people.

A completely exhaustive exploration of all the reasons why we might commit suicide is beyond the scope of this essay, although I feel as though I have made a decent attempt.

* * *

As always, I must remind readers that my personal stance is that suicide is understandable but absolutely undesirable in all but the compassionate circumstances, where it is intended to give relief to a person whose life is unbearable; unliveable; intolerable.

We must distinguish the temporary - the acute - from the permanent; the chronic. We must avoid permanent solutions to temporary problems, although I am aware that agony can feel eternal when we are in the grips of it. I am very sorry that people are suffering and I wish they weren't.

This essay is intended as something thought-provoking, and as an open and honest discussion-starter, so that people who feel that they can't talk about their anguish and pain - that suicide is the only option available to them - might feel as though it's OK to talk about the things which are bothering them.

If you choose suicide, I won't judge you or tell you that you're wrong, but I hope that you think about everything, and choose to live in the end... although of course you might decide - based on your personal pros and cons - that life will never be tolerable and pleasant ever again, which is very sad but I understand that people need relief from their torment.

I do not encourage, endorse or recommend suicide.

 

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All The Suicide Methods

14 min read

This is a story about the control of information...

Poisonous Mushroom

As is often the case, something I have read or watched has prompted me to write. Today, I felt the urgent need to write about methods of killing yourself. I felt compelled to document every single method of committing suicide, which I could possibly think of.

The reason why I would write this down is that the thing which most often draws visitors to my website is something I wrote about suffocation - asphyxiation - as a means of suicide. People also come who are desperately trying to cure themselves of their problems with mental health, alcoholism and addiction. People visit my website for all kinds of different reasons, but as a source of information on how to kill yourself, my site is one of many millions. Our libraries are full of books which explain in exquisite detail how people have ended their own lives, since we took pen to parchment, or chiselled runes into rock. For those who seek, they will find.

I've noticed a lot of criticism of the owner/operators of forums where suicide is predominantly discussed, and prominent popular indviduals who have large social media followings have been criticised for their participation in the online discussion of suicide which has coalesced around their digital persona.

We have to be very clear about something here: people need and want to talk about suicide. Making it a taboo subject, and ridiculous fantasies about book burning and the modern-day digital equivalent - banning websites - fails to address any of the underlying causes of why people take their own lives.

People don't kill themselves because they're encouraged by others, online. People don't kill themselves because they're able to easily find the information about the methods of suicide. The reasons why people kill themselves are as complex as the individuals who end their lives prematurely, and to point the finger of blame is pointless; futile.

While it might be true that we see 'outbreaks' of suicides which cluster together geographically, almost like a conventional viral, bacterial or parasitic infection, passed from person to person, this does not mean that newspapers, magazines, TV & radio stations and the modern digital equivalents, should never talk about suicides, or the methods. There is no evidence to prove that journalistic guidelines have in any way reduced the likelihood that fellow friends, classmates and other people in the vicinity of a suicide, will commit suicide themselves. We are missing the point: if one person in a particular area of the country, of a certain age, living a certain lifestyle, is compelled to end their life, then why should we be surprised that there are many others who are living on the edge too? It is absolutely untrue that the media and the internet is in any way shape or form responsible for pushing and/or prompting people to end their lives.

We also have to answer the difficult question: is it ethical to force a person to live a miserable and unbearable life? Is it unethical to force a person to endure unending suffering?

A documentary I was watching particularly annoyed me when a so-called expert came onto the program to say that suicidal thoughts are usually fleeting, and quickly pass; they essentially said that depression is temporary - in a particularly dismissive manner - and that we should shut up and put up with it. This made me furious.

People don't end their lives whimsically. Suicides are meticulously planned. The formation of the idea of killing one's self is something that has taken place during years of terrible suffering. I say that it is unethical to act in any kind of way to prevent a suffering person from achieving relief from the terrible torments which they have decided are too unbearable. It's their life at the end of the day. It's selfish to ask them to keep living an intolerable miserable suffering-filled existence... for what reason? So that you don't feel sad? Get over yourself. Get a grip. Have some compassion. Show a little empathy.

I believe strongly that suicides are 100% preventable, and that we should aim for zero suicides - nobody should ever commit suicide. However, the solutions are well beyond the scope of this essay, and ask the reader to think the unthinkable, such as improving people's lives, instead of fobbing them off with cheap anti-depressant tablets and abysmal "behavioural therapy" courses developed and delivered by a group of people with the collective IQ of a slug. The evidence is clear: suicide is the number one killer of men under the age of 50, and the suicide rate in young girls and women is growing faster than ever before. Yet, the approach remains unchanged: ineffective medications and ineffective psychological therapies. Also, the circumstances get worse and worse: youth unemployment soars, personal debt soars, global warming and climate change rages out of control, and the chance of having a fulfilling happy life diminishes by a vast amount every single day.

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So, you came here for the good stuff, right?

OK, here are all the ways you can kill yourself, separated into some different sections.

Poisonings and Overdoses

Almost every substance which a normal person can obtain will result in a slow and painful death. Anybody can find a poisonous mushroom or plant - such as deadly nightshade or hemlock - which will kill you, but it will be extremely unpleasant. It's possible to purchase a large quantity of paracetamol, for example, which will easily cause fatal liver failure, but this is a particularly slow, painful and unpleasant death.

Deaths by overdose are hard to achieve with so-called 'safe' modern medications. Your doctor is unlikely to prescribe you enough opiates to allow you to kill yourself, unless you stockpile your supply, and slow-release formulas can make it hard to commit suicide using swallowed tablets. Barbiturates, which are the number one choice of doctors who wish to commit suicide, are never prescribed. There are deadly medications, such as warfarin, but to obtain them is almost impossible.

Were you able to obtain a poison such as strychnine or cyanide, your death would be surprisingly slow and painful. Potassium cyanide particularly, would not be a pleasant easy death, unless combined with a large dose of sedative and a painkiller, because it essentially induces a heart attack.

Blood Loss and Other Trauma

The body has developed very advanced mechanisms to cope with severe lacerations, and blood vessels will spasm and contract to contain loss of blood. The arteries are generally well protected by the anatomy which has evolved to keep us alive.

Generally speaking, cutting the jugular vein(s) is a reliable method of suicide, but there are many variables: the blade must be sharp, the aim must be true, and the cut must be made with force and certainty. It's more likely that you will end up with a profusely bleeding laceration than a lethal wound.

Cutting one of the carotid arteries must surely be the most reliable way of killing yourself with a knife or razor blade, but detailed anatomical knowledge and a willingness to undergo immense pain, while conducting this surgery on yourself, makes the task almost impossible.

Plunging a sharp object in-between your ribs and into your heart or one of the biggest blood vessels in your body will kill you very quickly, but the chance of you hitting your target is low.

The Japanese Samurai favour disembowelment as an "honourable death". Do not recommend.

Self-immolation would be incredibly painful, and your death would be caused by suffocation: the flames would consume the oxygen from around your body, and your lungs would be burned so badly they would not function. Definitely do not recommend.

Falls From Height

Yes, these will kill you. There is a well documented case of a man who survived a fall from the Golden Gate Bridge, which is about 67 metres (or 220 feet for those who prefer imperial units). In rock climbing terms, that's about 1 rope length, and there are lots of documented cases of rock climbers who have fallen from the top of a cliff and survived.

This is all about the height, and the surface you're landing on. Maximum height and solid landing surface = more certain death. I would say that 8 storeys or more, landing on concrete, rock or something similar like that, would guarantee 'instant' death. Bear in mind that you would need to jump and also endure the fall, which would both be very traumatic, but it would be a 'quick' death versus a poisoning or overdose, for example.

Hanging

Most people who have hanged themselves have died from asphyxiation, and have suffered an incredibly awful death. Death by hanging has a high success rate, but we should be mindful that the final period of that person's life was unimaginably terrible. To asphyxiate elicits one of our most primal panic responses - the hypercapnic alarm response - and we know that many people who have hanged themselves have taken 30 to 90 minutes before they have finally expired. This is one of the most unpleasant deaths I can imagine.

For a hanging to be a quick death, the neck should be broken or the body should be decapitated - either outcome achieves the desired outcome, which is a quick death. It would be advisable - although I advise nobody to commit suicide, of course - to err on the side of caution, and ensure that the 'drop' is sufficient to break the neck at the very least, and if decapitation occurs, then it's far preferable to the alternative: a lengthy asphyxiation.

Electrocution

Most modern domestic and commercial electrical systems are fitted with systems to prevent electrocution, and as such you would be unlikely to be able to electrocute yourself by, for example, dropping an electrical appliance into the bath-tub while you were in it.

In the interests of a full and frank exploration of all the available suicide options, I must tell you that it's possible to obtain a lethal electrical current by simply removing the cover of your fuse box, where there are live parts which do not have the protections which you have throughout your house or other premises.

Touching a live electrical conductor will hurt, a lot, but it won't kill you. In order to kill yourself by electrocution, you must first grip something which is earthed - such as a copper water pipe or the earth clip for your house, usually marked with green and yellow striped insulation - and then touch the live source of electricity with your OTHER hand. Then, the electrical current will flow across your body, through your chest, and your heart will either be very badly damaged or at least enter ventricular fibrillation, where it is unable to pump blood, causing you to lose consciousness immediately.

It's possible that you might only receive a 'mild' electrocution, leaving you with very bad burns, tissue and nerve damage, but otherwise alive. For this reason, it's probably inadvisable for anybody except a trained electrician to commit suicide using this method.

Asphyxiation, Drowning, Suffocation etc

As I wrote before, the hypercapnic alarm response, which is your body's natural reaction to high carbon dioxide levels in your bloodstream, will cause incredible panic and suffering. As such, drowning yourself by attaching weights to your body and jumping into water, would be a terrible, terrible death. Do not recommend.

To attempt to suffocate yourself, perhaps by putting a plastic bag over your head or other somesuch thing, would result in the elicitation of the hypercapnic alarm response and you would tear the bag off your head, driven by instinct. Your primitive survival instincts would override the neocortical modern brain, which we have unfortunately evolved, leading us to want to commit suicide in the first place.

In order to asphyxiate in the manner which we would all wish to die, which is painlessly and peacefully, the solution is simple: we must breathe a gas which contains no oxygen or carbon dioxide. To breathe the gas from your oven puts your neighbours and firefighters at risk, because a gas explosion will be the likely result. Instead, a bottle of helium can be purchased inexpensively, for the usual purpose of filling baloons. Instead, the helium should be used to provide a steady supply of gas to some kind of 'hood' which you wear. By breathing an inert gas like helium, you will quickly lose consciousness and death will follow within some minutes, as your body and brain are deprived of oxygen.

Other

There are things which might work, but are more likely to cause you incredible pain and injury, such as injecting yourself with a bubble of air.

You could obviously starve or dehydrate yourself to death, but this would be time-consuming and result in a slow and painful death, with much suffering.

For those who live in places where firearms are easily obtained, I don't know why you're even reading this: if I could get hold of a gun I'd already be dead, I'm sure. That's not to say that gun control is preventing my suicide; merely that there are easier ways to kill yourself in a country like the UK, but I foolishly have opted for methods which were unlikely to kill me, such as poison, overdose and cutting veins.

The number of ways to cause your body a traumatic injury are innumerable, but an example might be to turn off the airbag on your car and then drive without a seatbelt at 100mph into a concrete pillar which is supporting a bridge.

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As you can see, the options are multitudinous and you really don't need me to list them. You already knew almost all this stuff, and if you didn't, it was available on a million websites; it was one single Google search away.

As for the charge that I am encouraging, endorsing, glamourising or enabling suicide in any way whatsoever, you are barking up the wrong tree. Look again at the suffering. Look again at the causes of that suffering. Look again at the options available to the victim of that suffering. If it was possible for a suicidal person to endure any longer, they would. If there was an easy option, like a magic pill from a magic doctor who lives in a magic building, then we would see suicide rates falling not climbing. The medical establishment claims to want to preserve life, and it claims to be empirical and evidence-based, yet all the evidence shows that medicine is failing abysmally to deal with the number one killer of men under the age of 50; the fastest growing cause of death of young girls and women. Medicine can f**k off - it's had plenty of chances to do something about the suicide and mental health epidemic, but instead it has rested on its laurels and dished out useless pills, and allowed intolerable living conditions to grow, flourish and proliferate.

If you think my article is somehow dangerous and irresponsible, I suggest you seek your first recourse with those who claim to be practicing so-called medicine, when all the evidence shows that the medications and treatments prescribed are entirely ineffective, and the mental health epidemic and suicide rate are the number one public health emergency, yet your doctor is doing nothing about it - they have their head buried in the sand.

For those of you who came here looking for information on how to commit suicide, I empathise. I've attempted suicide several times. If you want to talk to somebody who lives with suicidal thoughts on a daily basis and has tried every conventional treatment you can possibly imagine, who won't try to "talk you out of doing anything" or otherwise patronise you, my Twitter DMs are open and my email address is publicly available.

If you're suffering, I'm sad about that. I wish people didn't have to commit suicide, but sometimes they do, because the suffering is too unbearable.

 

Still thinking about killing yourself? Please read my essay on how to kill yourself.

Want even more? Please read about why I am planning on committing suicide.

 

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An Apology

6 min read

This is a story about remorse...

My kitty

There's a lot of good reasons why we don't steal people's medication.

Firstly, theft is illegal. There is no defence against the crime of theft. You could rob a bank and claim that you were going to give the money to charity, but I'm afraid that's no defence. You could claim that you didn't know theft was a crime, but ignorance is no defence. You could claim that you were keeping somebody safe, by stealing something of theirs that was dangerous: perhaps you stole a fast motorbike, and your defence is that you wanted to prevent injury or death. Unfortunately, while these arguments might give the court judge cause to be more lenient in their sentencing, the crime of theft is a clear-cut thing: you simply need to permanently deprive the owner of something that they own, and you have committed a crime. No defence. It's a crime. It's that simple.

Secondly, some medications require you to have a prescription to have them in your possession. There are lots of medications which are controlled drugs and as such, to have stolen those medications would mean that you have committed a second crime: possession of a controlled substance, without a prescription. Again, there's no defence for being in possession of a controlled substance without a prescription, unless you have signed documentation proving that you are authorised to collect a prescription from a pharmacy, on somebody else's behalf.

Thirdly, some medications will cause seizures and death if the patient abruptly stops taking them. Many medications raise the seizure threshold, and when medication is stolen and the patient is forced to abruptly cease taking the pills, then the seizure threshold is lowered so substantially that the result is very bad seizures - grand mal - which can cause physical injuries as well as death. This would be gross negligence, or gross negligence manslaughter in the event of a death.

Fourthly, while incredibly ignorant people might think that they are being "helpful" by stealing medications, if their fantasies are incited by other people - abusing a position of respect and making misleading representations that they know what the f**k they're talking about - then those people become part of what's called a joint enterprise or common purpose crime. It doesn't actually matter who committed the crimes - all the parties in the conspiracy are equally guilty.

Fifthly, it does not even matter if the crime(s) are actually committed or not. If there was a conspiracy to commit a crime which was never acted upon, then that conspiracy can still be prosecuted as a crime.

In short, don't steal other people's medications, or even plan or advise to attempt such a thing, because you are breaking at least four laws. Criminal law is not based on precedent and interpretation. It's open-and-shut: you clearly broke the law, so you must be prosecuted and punished.

Because I suffer from Bipolar Affective Disorder, I am prescribed lamotrigine, which is an anticonvulsant. Epileptics are prescribed lamotrigine, because it raises the seizure threshold. It is extremely dangerous to stop taking lamotrigine abruptly, whether you are epileptic or not, because you are likely to have life-threatening seizures.

My ex-girlfriend, with incitement from 5 others acting in a criminal joint enterprise, conspired to steal a large number of different medications from me, with no fewer than 3 of the medications being likely to cause seizures, injury and death, when I discovered the theft and was unable to take my pills as normal. The theft was a smash-and-grab, where there was clearly no consideration for the immense harm that was likely to come to me, but also, medications were stolen in a manner that clearly proved that it was an act of incredible stupidity; utter recklessness and shocking ignorance.

Would you rummage through the drawers and medicine cabinet of a home in which you were a guest? If you were so incredibly rude and privacy-invading as to do so, and you happened to find items which were embarrassing, would you tell all your friends? Would you humiliate the poor person who trusted you to act with the duty of care towards their privacy, which they were owed?

It shocked me when a friend sent me a message asking about a particular medication - which it later emerged had been stolen - and was mocking and humiliating me about this. My most private, confidential, embarrassing, secret and sensitive medical information had been abused in the most horrible disgusting way. Without a single care about violating my dignity, humiliating me, embarrassing me and betraying my confidence, my ex-girlfriend carelessly boasted to her co-conspirators about the medications she had stolen from me. This medication can be bought over-the-counter in any chemist, without a prescription, has no abuse potential and has no potential to cause an overdose. Why steal it? Why boast to her co-conspirators she'd stolen it?

I did get an apology from my ex-girlfriend, but I doubt she feels any remorse. I suspect it would take criminal prosecution for her to realise that her actions were wicked and wrong, and there was no excuse for the risk she placed my life in, the violation of the sanctity of my private home, the violation of my dignity, the humiliation and embarrassment she caused me by violating my confidential medical details. She's a horrible person, although I will say that without the incitement of the co-conspirators in the criminal joint enterprise, she would have been less likely to commit the crimes - although this does not forgive her behaviour, nor absolve her of her crimes.

Getting an apology out of the ex-friend who was a co-conspirator in the criminal joint enterprise, who then began to criminally harass me, sending me numerous unwanted offensive messages, emails and letters, which caused me a great deal of humiliation and embarrassment, violated my dignity, and was particularly intimidating regarding the confidentiality of my private medical details.

My ex-girlfriend's mother did feed my cat while I was in hospital, which was very kind of her, and I want to thank her, but when I arrived at my ex-girlfriend's house and demanded the return of my keys, the atmosphere was not conducive to saying thank you for the mother's kindness, which she had shown to my cat.

I suppose when you are faced with an individual who has threatened to pursue criminal charges against your daughter, the parental instinct probably kicked in and she would have denied that her daughter was a murderer, even if she'd seen her plunge the knife repeatedly into the victim's body.

Anyway, this is a simple message: don't steal people's stuff, OK. Especially medication, which is a matter of life-or death. If somebody tells you that it's "OK" or "the right thing to do" then they're wrong - they are inciting you to commit a crime, and they themselves are co-conspirators in that joint enterprise crime too, and will be prosecuted equally under the law.

 

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Treatment

10 min read

This is a story about making people better...

Ward

I remember the days when I thought that there were magic buildings full of magic people with magic potions who could make magical things happen. I remember the days when I was naïvely optimistic about the abilities of people, institutions and organisations who make highly alluring claims: we can cure you!

If I had ruptured a major blood vessel, or my body was losing its battle against a bacterial infection, you can be damn sure that I'd want somebody to stop the bleeding or give me some antibiotics. If I had an operable cancer, you can be sure that I'd want somebody to cut it out of my body.

Some areas of medicine are comparatively new. Some areas of medicine don't have a great deal of success - the data doesn't show significantly better outcomes for patients who are treated, versus those who are untreated. Medicine is actively losing its battle to save lives in some areas, such as suicide and opioid addiction. Mental health problems and addiction have been declared medical emergencies; epidemics.

Sometimes I wonder if it's useful to think of myself as having a chronic illness, and to expect that problems are just around the corner. I can have a good day, a good week, a good month... maybe even a good year. However, it's probably dangerous to start thinking of myself as "cured" or "recovered" and begin to consider myself "normal". Complacency will no doubt lead to repetition of past mistakes, which can result in an incredibly fast chain of disastrous events, destroying every semblance of a normal life, which was so convincing that I and other people were completely convinced that I'm just another ordinary bloke... not some ticking time bomb.

I fought very hard to get treatment. There was a great deal of reluctance to diagnose me as bipolar, and there was further reluctance to treat me. I seemed very functional. My problems seemed acute. Everybody hoped that I'd go away and get better without intervention.

wanted treatment. I knew I was getting sicker. I knew that my situation was deteriorating. I could see the car crash that was about to happen.

I believed that treatment was effective.

I just had to find the right treatment.

I tried so many medicines. I also believed in the "magical healing powers" of hospitals and doctors. I was indoctrinated by the medical establishment's dogma: "we are the experts and we are the only ones who can cure you".

Of course, I'm not such a fool that I believe in alternative medicine. I critically examine all the claims of all charlatans, quacks, healers and others who promote themselves as miracle-workers. Desperate people are suckers. People are also lazy and gullible. Many of us will be scammed in our lifetimes, because we are so desperate to believe in the existence of things that are too good to be true.

It would have been good I could have avoided that period of my life when I was desperately searching to find the right specialist, hoping that a stay in hospital would be my salvation, or trying a heap of different medications in the hope that I would stumble upon the right one, but it was a necessary education. I needed to learn what was possible, and what was not possible. I needed to see with my own eyes and experience those things first-hand, to learn the limitations of psychiatric medicine.

Psychiatry is young. Mainstream psychiatry - the prescribing of psychiatric medications on a massive scale - is an experiment that's barely a few decades old, which is no time at all, when we consider that anatomical studies of the human body and surgery are parts of medicine which are hundreds of years old. The present-day situation, where at least half of us will take a pill for depression or anxiety at some point in our lives, and so many of us have been taking psychiatric medications for years and years... this would have been unthinkable before Prozac successfully normalised the practice of dispensing mind-altering drugs to tens of millions of people across the USA and Europe. Nobody really knew what the long-term consequences and long-term outcomes would be.

I've lost interest in having any contact with doctors now. I've lost interest in any new developments in the field of psychiatry. I've lost interest in the idea that there will ever be a miracle pill to cure depression, anxiety or to stabilise moods. The brain has proven a far more complex organ than the blunt instruments of psychoactive substances are able to have any precise effect on. Pills are useful for curing a bacterial infection, but they are of no use in an organ which has been evolved to specifically resist attempts to alter it - the brain's ability to maintain homeostasis is incredible, and all psychiatric medications are fundamentally flawed, because they affect a plastic organ, which can simply adapt itself and return to its original state.

Hospitals can offer welcome respite - sanctuary - from the unreasonable demands of the world. Hospitals have their place as a controlled, safe environment, full of caring people. However, psychiatric care has changed radically in the short time that we have been practicing it as a branch of medicine. Those who are ill-equipped to cope with life outside institutions cannot expect to live in an asylum forever, which might sound like a good thing for those who believe that people can be cured and rehabilitated. However, in my experience, it is the horror of the "real world" which is the very reason for the epidemic of mental health problems, and it's often infinitely preferable to protected with the safe confines of an institution than to be fending for oneself in the big wide world. The idea of losing your freedom might sound terrifying and unpleasant, but for those who are struggling to cope - struggling to be functional - freedom is a small price to pay, for the comforting reassurance of life inside an institution.

When you are a child and you hurt yourself, you run to your parents to "kiss it better" but often the injury remains painful for sometime and there is nothing that can be done to alleviate your discomfort. We learn that sticking plasters, stitches and plaster casts can help our bodies mend themselves, but there is nothing to be done to speed up the healing process. There is little that can be done to take away our pain. There is little that can be done when we are suffering mental anguish.

Although my life was very badly damaged, I'm now part of a large organisation where I'm known to a lot of people, and they'd be concerned if I went AWOL. My home city is still very new to me - and I know very few people locally - but I also think that somebody would ring my doorbell and check on me if I went AWOL. I have a routine. I have put things around myself that are structured and stable, even if that rebuilding process is very far from complete.

I've been here before... so very close to a fresh start; a complete life. About a year ago, in the blink of an eye I lost most of my new friends, my new girlfriend and my new job. The year before I nearly died, and I regained consciousness to find I'd lost my girlfriend, my home and my job. I'm aware that my life is very fragile. I'm aware that my existence is precarious.

I wrote positively yesterday about my life and how far I've come since the very deepest depths I sank to, but I know that I have a difficult job trying to stabilise myself and find a way of living my life that's sustainable, and tolerable... pleasant even, one hopes.

It's strange that I've been so much and ultimately reached the conclusion that I was doing a reasonably good job of looking after myself, but I simply had some very stressful life events to deal with. I thought that I could turn to doctors and hospitals to make me better - and indeed my life was certainly saved when my physical health was severely damaged - but now I feel much happier doing everything on my own: I prescribe my own medications, adjust my own dosages... but mainly I just try as best as I can to create a tolerable set of circumstances to allow myself to thrive; I've come to recognise that my family don't care about me and have abandoned me. I've been incredibly lucky to have very loyal, generous, kind, caring friends and wonderful girlfriends, who've believed in me, and looked after me, and stuck by me through the difficult times.

When you see the finished product - a functional man - then we might assume either that he never had any major difficulties in his life, or that treatment was a success. I'm grateful for the hard work, effort and dedication of those who work in psychiatry, but my ultimate conclusion is that it's a flawed branch of medicine. Things could have ended very badly, but those friends who bothered to come and visit me in hospital, check on me when I went AWOL, look after me when I was sick, believe in me, support me... that's the thing that was the key to giving me a chance at getting my life back. Those who've read my blog and are kind enough to reach out to me - to be in contact - have helped me to feel like I have some value, and to feel some self-esteem.

My colleagues don't know how sick I've been, and they don't know how much it means that I'm able to be treated like a normal person at work. My colleagues don't know how important it is that I have the structure and routine of office life. My colleagues don't know how great it is for my mental health to have the social interaction that we have, even if it's just office chit-chat.

We might conclude that the doctors I saw 11 years ago were right - I'm not really very sick and I'm quite capable of living a fully functional normal life - but they're also wrong, because everything had to get smashed to smithereens and rebuilt from nothing, before I could reach this point. I nearly died so many times. Was it avoidable though? Probably not.

That's my conclusion: I've learned a hell of a lot, but it would be wrong of me to start telling people that I have the answers, because what I discovered was that I had to learn everything first-hand. If I had a time machine and went back to tell myself everything I've learned up until now, I don't think I'd believe myself and I'd end up making exactly the same decisions, much like children have to make mistakes even though their parents warn them about everything and try to protect them.

Does this mean that I forgive my parents for abandoning me? Nope. If your kid is sick in hospital, you go and visit them. Period. No ifs. No buts. You don't abandon your children, no matter how old they are.

 

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I Love My Job

6 min read

This is a story about having a métier...

Hospital bed

It feels strange to be writing this, but I'm really loving my job at the moment. I've always been a bit of a workaholic, but I often get depressed and demotivated when I'm not empowered to do my job effectively. I have often complained about being bored and unchallenged - a common consequence of working for very large organisations - but after a difficult 'bedding in' period I usually find myself in a role where I'm adding a lot of value, which I find very rewarding.

I've written so often in the past 15+ months about how much I detest the rat race and the coercion of capitalism, forcing me to work when I'm very sick. Not long ago, my kidneys failed on more-or-less the day I was supposed to start a new job. My life hung in the balance, as the amount of toxins in my bloodstream put me at continuous risk of cardiac arrest. Whether my kidneys would ever function again was doubtable and I had weeks of emergency dialysis, lasting several hours a day.

I discharged myself from hospital against medical advice, because of the coercion of capitalism. I need to work. I can't afford not to work.

That period in hospital was a major setback. I exhausted myself, persuading the company I was about to start working for to wait for me to leave hospital, which they did... but I had to leave hospital at least a week before it was safe to do so. My recovery from such a traumatic medical emergency was not straightforward - my left leg was not working properly due to nerve and muscle damage and I was in immense pain. It took months before I was able to walk very far without it causing me a great deal of agony. Work was impossible.

A company asked me to build an app for them, with a very tight deadline, which I did, but my financial situation was precarious and I was still very unwell. The pressure was too much and I tried to end my life.

A friend recommended me to the company he was working for, to build an application for them, which I did. I had a tight deadline, which I easily met. Strangely, the company decided to extend my contract, but the work was finished so I was incredibly bored. My colleagues worked in Warsaw and I was in London, so I had nobody to talk to - I was very isolated. I was still recovering from the suicide attempt.

Another friend recommended me to another organisation. Again, there was a project with a deadline, which I completed early. I enjoyed that project, but I'd had to move house and I was rebuilding my life in a new city. The preceding events had left me in a very financially precarious situation, as well as isolated from friends. I finished the project, but my life was unstable - I got sick, broke up with a girlfriend and my personal life fell apart, although I managed to minimise the impact at work.

I started work with the current organisation. I did so out of desperation, because I was in danger of losing all the progress I'd made to getting back to health, wealth and happiness.

I lived in a hotel for months. It was awful.

It was quickly apparent that there were people I enjoyed working with, and there were plenty of challenges to keep me busy, but my personal life was very badly broken. The work was good at times, but my brain chemistry was not healthy, and some days were very torturous. I struggled to find pieces of work which would keep me entertained and motivated. My mental health was a hit-and-miss affair.

I struggled onwards, setting myself some major milestones: I wanted to take a holiday in October, to beat the winter blues. I wanted to take a holiday during Christmas and New Year, to get some more winter sun and because my relationship with my family is irreparably broken. I wanted to come back from holiday and carry on working, to cement my gains. I knew that I had to move house and settle somewhere - to have some security and put down roots.

I suppose I always manage to make myself useful in any organisation, given enough time to get my bearings and manoeuvre myself into a role where I'm empowered to make a difference. The place where I currently work seems to have gleefully put my skills to good use, and I feel like I'm in the right place at the right time. I do stuff that I think will be useful and I'm rewarded for it, even though I'm rarely doing what I'm 'supposed' to be doing.

I worry that disaster will strike. I worry that my big mouth will get me in trouble. I worry that the personal risks that I take - staking my reputation on my decisions - will backfire one day, if I make a mistake. I know that my employment is precarious; temporary. I'll be kicked out as soon as I've served my useful function.

I have a great deal of extra pressure on me now that I've made a commitment to a new city. My financial security would quickly collapse if I lost my source of income. My mental health would be likely to deteriorate very badly, with a major setback.

I'm not sure why I'd lose my job when I am enjoying it, being very productive, doing useful work and being seemingly well received - well liked - by my colleagues, but I do have a propensity for getting carried away and doing stupid stuff. The springtime has often proven difficult for me in the past. I need to work very hard to keep my mood as calm and regulated as I possibly can.

On a Sunday night when I'm usually dreading Monday morning, I'm actually feeling very happy to be starting a new working week. I feel motivated. I feel like I have a purpose. I feel empowered to do a good job.

 

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Tinnitus

5 min read

This is a story about hurting myself...

Ear

There's an insufferable noise inside my head. It's a bit like a hissing, whining, wailing, screaming roar. I can't actually hear anything per se, but there's something that's far noisier than everything else that I can perceive. The world seems very loud and invasive to me - every tiny sound is amplified to neve-jolting volume - but the noise inside my head is louder, even though it's silent.

I know this doesn't make any sense.

At its most basic, the noise is like the shrill notes of a horror movie, which indicate that something bad is about to happen. The noise is deeply unsettling; disturbing. I feel on edge.

Then, after a while, because the noise doesn't go away, it seems to become more urgent: Pain, injury and death feel as if they're about to happen. I'm in a constant state of 'flinching' from the anticipated blows to my body.

The feared pain never seems to quite arrive, but instead there's a dread that this feeling will never go away. This is my life now: Living in a constant state of anxiety; living with perpetual sustained threat.

How can I go on living like this?

How can I live with this noise?

There is no noise.

My rational brain knows that there isn't any noise. My rational brain knows there isn't any threat. My rational brain knows there isn't anything to be anxious about.

Further, I know why this anxiety is so bad: Because I've been through an incredibly stressful life event, and I'm not using my usual coping mechanisms, such as drinking alcohol.

In fact, I'm effectively putting myself through alcohol detox, tranquilliser withdrawal and sleeping tablet comedown, whilst simultaneously doing one of the most stressful things that ever happens in our lives - moving house.

If I don't learn to cope without alcohol then it will destroy my health and send me to an early grave. If I don't learn to cope without tablets, then I will be forever trapped by addiction.

The unfortunate short-term consequence is very unpleasant to live through.

In fact, it's so unpleasant I've started to think I would very much like to not be alive.

That's the noise.

The noise continuously tells me to hurt myself; to end the pain.

If there was a sound that existed which told you you're better off dead, then it rings at full volume in my ears. Its sustained pitch and relentlessness tells my brain it's never going to go away, things are never going to get better, and this unbearableness is a permanent state of affairs... and the only escape is death.

I've been through enough anxiety and depression to know that things don't get any worse than this, and eventually things do get better. I have unfortunately experienced enough prolonged panic attacks to know that this is just another one, and although seemingly interminable, it will eventually pass.

Given a little more freedom - a few more options - I would stay at home in bed, and sleep. To make matters worse, however, I feel compelled to be in the office, which is just about the worst place in the world, because I have to pretend like everything's OK when it's not. I have to sit in my office chair for 7 or 8 hours, when every single bit of my body and mind screams to be doing something distracting or relaxing.

Driving in heavy traffic is a mild improvement over sitting at my desk. In fact, sticking sharp objects into myself would be a mild improvement over sitting at my desk. Jumping out of my office window and falling to my death seems like a vast improvement over sitting at my desk.

It's a pretty disturbing state of affairs and I'd be yelling for help, except that I know there's no comfort that anyone's going to offer me. Nobody's going to pay for me to be sick in bed. Nobody has anything they can say or do to ease the situation. I'm just going to have to suck it up.

It's not like I've run out of pills or the shops have run out of alcohol. It's not like I couldn't go into debt while I get better. There are temporary solutions, but they all delay the inevitable.

I suppose I'm ripping off the sticking plaster, as opposed to peeling it off gently little by little. This is a short sharp shock. This is the fastest route between two points, but also the rockiest road, with thorny bushes, biting insects, choking dust and a whole host of other things that don't mean it's necessarily the easiest path.

Now... I need to go and find distractions until it's time for bed. Today has been an incredibly long day, and I wish I hadn't woken up.

 

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The First Cut Won't Hurt At All

7 min read

This is a story about deferred gratification...

White rose

Let's do two analyses of the last year of my life. In the first analysis, we'll be harsh and attempt to form a negative opinion of everything. In the second analysis, we'll consider things in their proper context and circumstances, and arrive at a radically different conclusion.

Everybody has to work, right? Everybody should have a job, because nobody's entitled to be a burden; a lazy layabout. It's my responsibility to earn money to pay rent, bills and buy food.

A year ago I was living rent-free, not paying bills and having my meals bought and cooked by somebody else. I was not working. I was not earning money.

Everybody should look after their health, right? It's our personal responsibility to practice self-care and to ensure that we maintain our physical and mental fitness.

About 11 months ago, I went back to work. The job required me to travel internationally and to regularly travel across the country. The job required me to return to the overcrowded capital and live out of a suitcase in less-than-ideal temporary accommodation. I worked alone.

Everybody should make sure they take breaks; holidays, right? We all need to make sure we don't over-work ourselves and burn out. We are personally responsible for managing our own stress levels.

About 8 months ago, I finished one project and immediately started another one. I left one large organisation, where I had established myself over the course of a few months, and had to repeat the rigmarole of impressing a new boss and a new set of colleagues.

Everybody needs to work hard to maintain good relationships, right? Nobody should ever abuse drink, drugs or medications. We are all personally responsible for our bad decisions and their consequences, and as such we should never argue, break-up, or use mind-altering substances.

About 5 months ago, I relapsed back into drug addiction. My physical and mental health suffered horrendously from my self-inflicted substance abuse. I broke up with my girlfriend. I nearly lost my job.

Everybody needs to pick themselves up again and cope with the unexpected, if unfortunate events befall us. We are personally responsible for being resilient in the face of adversity.

About 3 months ago, my project finished unexpectedly early and I found myself without work again. Instead of immediately trying to get another contract, I took loads of drugs and wasted a whole month doing absolutely nothing.

Everybody needs to protect their money and their hard-won gains, right? We are all personally responsible for ensuring that we only move in a forwards direction, and never slip backwards.

About a month ago, I lapsed back into drug abuse, which caused me fail to tell my colleagues I was unwell until 1:34pm, because I had no idea what time it was. I had no idea what time it was, because I'd papered over my own bedroom windows, in order to hide myself from the prying eyes that my mind would create, in a state of drug-fuelled paranoia.

Everybody needs to pay of their debts, save money and economise, right? We should be careful with our cash.

In the last month, I've written-off a top-of-the-range Apple Macbook Pro for the second time this year. I bought a brand new Macbook and iPhone XS. I drunk-booked a luxury holiday to a theme-park family hotel. I dine on my own in fine restaurants. I drink fine wine like it's water. I stay in hotels which are rated number one on TripAdvisor. I'm doing the very polar opposite of economising and saving money.

Why?

I've got daddy issues, I think.

Conventional dad wisdom would tell us that my actions are deplorable; my attitude contemptible. There are many obvious faults and flaws in my character which are apparent in my description of my crimes and misdemeanours from the past year. It's pretty obvious that I'm a massive fuck-up waste-of-space loser who deserves to be disowned, from my description of a single solitary year of my pathetic useless life. It's no wonder I don't get no respect from my daddy: my bad behaviour is plain for all to see.

I document everything with candour, so that all may judge me as I have been judged since my birth. I want you to see what my dad sees. In fact, he sees nothing, because he has sworn to never read a word I write.

I promised you a second analysis, right?

I lied.

It's up to you to arrive at your own analyses from the same set of facts.

I could have spent time defending myself and telling the story in a way that portrays myself in a favourable light, more likely to receive sympathy.

I can hear voices in my head. The voices say: "fuck off and die you navel-gazing self-absorbed self-pitying manipulative maudlin faux-tragic melodramatic tear-jerking little shit".

The voices don't come from the TV or the radio. The voices don't belong to demons and devils. The voices don't belong to manifestations of madness. Those voices are the real voices of real people. Those words are real too. I don't hallucinate - I can picture exactly where I was when those words were spoken. I don't choose to replay those unhappy moments, but those unpleasant words are so numerous that when I drive one unpleasant memory from my mind another one immediately intrudes.

I'm fortunate enough to have obtained the written verbatim transcript of my dad's interview with a social worker, just over a year ago. My dad says that I'm faking having a mental illness as an excuse for my bad behaviour. Then he says that I should be kept in hospital and chemically sedated. Then he says the best that can be hoped for me is that I should be confined to a bedsit at the opposite end of the country, heavily medicated. He says that he's protecting the family from me and that I'm forbidden from contacting my sister or visting the family home.

All of this - especially the part about being forbidden from visiting the family home or contacting my sister - was the first time I've seen or heard these views of his.

It strikes me that I'm posed with the same challenge I just set you, dear reader. I could view the evidence with conventional son wisdom, and judge the behaviour to be abhorrant. Or, I could invoke the generic and rather pathetic "parent" defence. "I'm sure it's just because he cares" goes the oft-repeated BS. "Parents are doing the best they know. They're not perfect" etc. etc.

My mind should be dull; blunted. However, instead it's sharp and slices through things. To say it's scalpel-like is the wrong analogy. Instead, it's like broken glass which is hard to pick up without causing an injury.

High on drugs, my dad always imagined himself intelligent; a philosopher.

Where did my predisposition to slice to the heart of the matter come from? Why do I dissect everything, exposing the absurdity of existence? Why am I afflicted with an agonising yearning for meaning in a godless universe with no afterlife?

How did I ever arrive at the notion that taking drugs and philosophising about the meaning of life is within the grasp of my intellect?

It's a mystery, for sure.

 

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