This is a story about non-linear progress...

Don't worry. I didn't buy or drink any alcohol. I just thought that step one should be repeated, because it's an important one. Why not make it step 3 and have 13 steps? Well, I thought it would be more like reality to have to repeat steps. In real life, we never follow steps one after the other - we have to go back and re-do things. It's snakes and ladders, although without the comforting knowledge that eventually you'll reach the finish, providing you keep rolling the dice.

Today has been surprisingly hard. Today I was supposed to feel the benefit of not drinking, but I didn't. I have been tormented by poor concentration span and anxiety today, which is an awful combination. I thought I was going to have to skip work because I wasn't feeling very well. I thought I was going to have to go home early, because I was feeling exhausted. I'm glad the working day is over.

I started thinking about how long it takes to feel like progress is being made. How long does it really take before a good lifestyle and health decision delivers any noticeable benefit?

A long time.

Sometimes I do a good job of setting my expectations, and sometimes I'm over-optimistic. Thinking back to when I was swallowing copious amounts of sleeping pills and tranquillisers, and I had a foreign holiday impending, it seemed impossible that I'd be able to quit all those addictive medications in order to be able to travel abroad. I must have suffered a great deal, but also I know that I dealt with that problem very quickly and I managed to get free from those addictive pills, and to enjoy my holiday free from medication. As well as quitting those medications I also quit alcohol, went on a diet and lost some weight.

How on earth did I achieve all that?

At the moment, I'm managing to stay off alcohol, but I'm not managing much else. Sure, I'm still medication-free, but I'm comfort eating like crazy, by way of compensation. I know that I'm only a few days into my current mission to improve my health and appearance, but I feel like somehow I should be feeling a lot better.

I suppose for every 10 days of bad choices, it's gonna take 5 days of living a healthy life to pay back that debt. I had gotten into some super bad habits in the last month, so it's bound to take at least a fortnight before I feel any benefit, I imagine.

My perceptions are all messed up. I'm tormented by thoughts of doom and disaster, particularly around my reputation at work - having screwed up and said something dumb and unprofessional - and my prospect of getting a contract extension or another local gig. I've started to feel overwhelmed: that the stress of it is too much to bear, and that I won't be lucky... my hard-won gains will all be eaten up but the relentless demands of rent, bills and other expenses, until I'm plunged back into homelessness and financial ruin.

I am aware that I've swung from feeling like I've been making a valuable contribution, that I'm good at my job, and feeling OK about things (have I ever really felt that though?) to now feeling that I've undone all my hard work, and that everything's doomed to fail after the end of October, when my current contract ends. I had been thinking that I would be able to persuade the organisation I'm currently working for to take me on directly, and I would buy my way out of a contract clause which prohibits me from working for the organisation. I had been thinking that I had a sensible and straightforward way ahead, but now I'm thinking that everything is ruined: the organisation doesn't want me anymore, my reputation is ruined, nobody will want me, and I'll soon run out of money and end up homeless and penniless again.

To have such an extreme swing of mood and perception must be due to a combination of alcohol and bipolar disorder.

I'm aware of this, but I still feel these feelings so strongly, that it's hard to be rational.

Anyway, I'm going to carry on with sobriety, because I know it's good for my health and my waistline.

Tags: #alcohol #bipolar

This is a story about being deliberately stuck in a rut...

It's fairly common for people charged with healthcare and wellbeing duties to blame the victim. "You don't want to get better, do you?" comes the accusation, when somebody's feeble attempts to help have failed in the face of an intractably difficult set of problems. "You like being depressed, don't you?" comes the victim-blaming response to the failure of a person whose profession is allegedly to help sick people get better.

I read an illuminating article the other day, which shed further light on the mindset which continues to perpetuate medicine and psychology's abysmal failures in the field of mental health. While claiming to practice evidence-based treatment, doctors and psychologists have no basic grasp of the evidence, which clearly shows an epidemic of mental health problems and dreadful outcomes - complete and utter failure, no less. However, in the face of this appalling failure, doctors and psychologists have decided to blame the victims, stating that the patients who don't get better - who are indeed the vast majority - are to blame for their own illness.

The charge, in a nutshell, is that depression and sadness have become a 'comfort zone' for the sufferer, and to attempt to get better would risk disappointment, so instead these untreatable people who are intent on remaining depressed, are competing with each other to see who can be the most depressed and miserable.

What a load of BS.

It's true that I have written endlessly about how depressed and anxious I am. It's true that I've written repeatedly about my certainty that I'm doomed to failure. It's true that I've felt hopeless and helpless; powerless. I've felt like my situation can never be resolved and that my life will never improve.

I've been convinced that my life will never improve.

I've been convinced that my life will never improve so does that mean I've made no attempt to improve it? Does the fact that I spurn medication and therapy indicate that I am intent on remaining depressed and anxious? Is my negative outlook a self-fulfilling prophecy? Am I to blame for my own misery?

Yes, doctors and psychologists would love to blame me for my own depression.

I say that it is them who are the defeatists, responsible for people's depression.

I say that it is those who do not listen and do not care, who only want for quick and easy fixes, who condemn the patients they claim to want to help, to a life of misery and depression. I blame the doctors and the psychologists for the epidemic of mental health problems, because they claim to offer effective evidence-based treatment, but the treatment is ineffective. All the evidence is overwhelming: the treatments on offer DO NOT WORK and often times make the patient's life much worse.

The solutions to the mental health epidemic are as complicated as our busy complex lives, unsurprisingly. The solutions do not come in the form of a pill or a simple cognitive therapy. The solutions are not simple, because the problems are not simple.

The world is addicted to my productivity. The world is addicted to my mental illness. The world does not want me to be well. The world wants me to be sick.

Yes. That's right. The world wants me to be sick.

The rat race is incredibly stressful and is tailor made to create mental health problems. Capitalism is incredibly toxic to mental health. Yet, we cannot discuss these things. Instead we must blame ourselves. Instead we decide it is us who is badly adjusted to society, and therefore it is us who is defective and needs powerful psychiatric medications to 'correct' our faults.

Obviously, when more than 50% of the population is struggling with some kind of mental health problem, then we can see that society is defective, not the individuals.

We ask mothers to leave their children in the hands of strangers, in order to commute long distances and work in offices. We ask fathers to miss out on seeing their kids grow up, because they have to spend so much time away from home, working. Our houses are a crippling financial burden. The lengthy commutes are stressful in rush hour traffic and jostling in crowds on packed trains and busses. We leave the peaceful rural countryside and journey into grey polluted overcrowded concrete centres of commerce, where the noise and the lights and the huge number of people is an assault on our senses.

We aren't supposed to live like this.

We aren't supposed to spend our whole lives fighting so hard; struggling. We weren't built to be so distant from our families and our communities, living lives of quiet desperation in concrete jungles, with so much stress about money. We were never evolved to spend so much time commuting, bored, working bulls**t jobs in offices. It's unnatural. It goes against our fundamental human nature.

We tell ourselves "it's not forever" as we attempt to pay off enough of our mortgages and save enough money into our pension pots to be able to quit the rat race, but the truth is that it is forever - we can never quit the rat race, and that's depressing.

I am making a little progress. I can see some light at the end of the tunnel. My quality of life has improved an immense amount versus a year ago, when things were much more precarious. In a year from now, with a little luck, I might finally be enjoying a little financial security, and therefore be a lot less stressed.

My problems are simple enough, but not simple enough for those who think that there's a pill which can almost instantly cure all my problems. My problems are simple enough for anybody who takes the time to stop and think, but who has the time? Much easier to just suggest that an hour of therapy a week is adequate to solve my rational depression and anxiety about the unbearable unpleasantness of the rat race and the abysmally awful situation which capitalism creates.

I will have no hesitation in ceasing my misery-filled essays, once I have escaped the source of the misery. I am not addicted at all to feeling sad. How preposterous to suggest that I enjoy feeling depressed. How offensive to suggest that I'm to blame for my own unbearable feelings.

I choose not to feel sad, depressed and anxious. I choose happiness. I choose joy. However, these choices are not available to me: it is necessary for me to work long and hard, in intolerable conditions, in order to be able to choose happiness. At least I have an opportunity to achieve financial security, when most people do not.

Of course I would love to solve the world's problems. I can see that society is producing an epidemic of mental health problems - the evidence is overwhelming. I would dearly love to be doing something to improve the human condition, end climate change, end poverty and generally allow people to live happier and more fulfilling lives, but I realise that it's impossible. I assure you that I work extremely hard, attempting to improve my own situation, but it takes a lot of time. I've made extraordinary progress, but there is still a long way to go, and there are regular setbacks.

In some ways I wish that my situation was more hopeless, so that I would feel enabled to do whatever I wanted. I feel as though I am duty-bound to pursue the great opportunity that has been presented to me. I am lucky enough not to held back by black marks against my name, such as a bad credit score, a criminal record, a bankruptcy or other things which condemn so many people to a life of poverty - they will never be afforded the opportunity to earn large sums of money, and therefore to be able to escape poverty by the conventional route. It would be somewhat immoral of me to throw away my good fortune and allow myself to be eaten by the vultures, when I still have the opportunity to work my way out of my intolerable situation, although it's incomprehensibly awful to work your way back up from the bottom, with the constant threat of failure.

I most definitely do not live in the 'comfort zone' of hopeless depression. Instead, I live with the unbearable anxiety and stress of trying and struggling, knowing that all my effort might be wasted, due to a single setback. Yet, I do struggle. I do try. I most definitely am ploughing every ounce of energy that I possess into attempting to escape my dismal plight.

Please stop blaming depressed people for their own depression.

Tags: #depression #capitalism

This is a story about a negative outlook...

I've been staring at the cursor for about five minutes, unsure of quite where to begin. I know that it would be wise to avoid conflict and destruction - deliberately looking for trouble - but my mind continuously prompts me to write about the situation which is causing me the most stress at the moment, which is the obscene amount of money I've spent on a holiday for my girlfriend and I, and the horrible flashbacks this is giving me from the time when I was taken advantage of and left for dead.

There's no need to publicly attack my girlfriend. She seems well-meaning enough. If I give her the benefit of the doubt, she hasn't got a bad bone in her body. However, the reality of the present situation is that she's spent a vast amount of my money and has no credible means to pay for her share. I know that the fault is mine, for getting carried away, but the situation is indisputable - she has profited handsomely from my vulnerability, which is something I've been harmed by in the past.

My brain feeds me a constant stream of negativity, because I have made overly-aggressive medication changes. I'm tormented by nightmares in my sleep, and from the moment I wake up until the moment I finally get to sleep, I suffer from invasive thoughts and an incredibly dour outlook on the future. My brain feeds me constant doom & gloom. My brain instantly leaps to the most negative possible outcomes.

I'm disappointed and frustrated that I might not get the opportunity to finish the project I'm working on. My contract is being terminated early, through no fault of my own. I had worked very hard to build a great reputation with the organisation I work for, but it's all for naught. A colleague gets paid more-or-less the same amount and has more-or-less the same job title, but that person has a fraction of my productivity - why did I burn myself out? Why did I work so hard? Why did I bother? It doesn't bother me so much that my colleague is useless and in some ways I find it kind of admirable when somebody gets paid so much for doing so little, but it bothers me that I might not get to finish what I'm working on - I like working hard and I like completing projects. It bothers me when somebody gets in the way of a successful project, by being thoroughly useless. It bothers me that I have to work much harder than I would have to if the under-performers were simply sacked. I have plenty of time and patience for my junior colleagues, but I have no patience for highly paid colleagues who're supposed to do the same job as me, who are not up to scratch and who are jeopardising a project.

I can see that my irritability and intolerance - my lack of patience - is symptomatic of burn-out. I've worked for too long at too high intensity. I've lost all balance in my life. I've lost all perspective. I've lost my health.

My colleague has the right idea. It was a mistake to get emotionally invested in my work. It was a mistake to become excessively obsessed with the project. I hate that I'm being bitchy behind my colleague's back. I hate that I hate my colleague's ineptitude.

I want to go back to the version of me who handles stressful situations with a smile.

I've faced very dangerous situations so many times that I'm usually cool and calm in a crisis.

Why am I so irritable?

I'm losing my grip.

I find myself in a precarious position. Perhaps not more so than other times in the past, but it feels more precarious than ever, maybe because I'm aware that I've got a winning strategy, but I'm still a long way from security. I've got a nice place to live and I've feathered the nest a little, but I don't feel very well - I have no idea how I'm going to avoid a breakdown and keep working at the same intensity, in order to cement my gains. I feel certain that the combination of luck and hard work is too demanding, given how burnt out I am. I needed better luck - I needed my contract to be extended, not cut short. I needed to reap the rewards of the hard work I invested into the current organisation and project... not to be having to prove myself in some new organisation; starting from scratch.

Every morning and every night I have a huge amount of dread: I have the uncertainty of a very invasive security vetting procedure hanging over me, and I have the uncertainty of the local contract market to face. I know that psychologically I'll be destroyed by relatively minor setbacks. I know that I'll find work in the private sector if the public sector won't have me. I know that my skills will be in demand somewhere but I'm sick of living out of a suitcase.

I know that my health is failing. I know that exhaustion is catching up with me. I know that when depression takes hold it will be long and destructive, leaving me unable to work, unable to get out of bed, unable to answer the phone... completely dysfunctional. I know that I'm completely burnt out.

I need to pack bags and travel. It might seem like a nice problem to have, but the holiday will leave me worse off financially and worse off in terms of relaxation. I need to spend 6 weeks in bed with the curtains closed, but instead I'm bankrolling somebody else's dream holiday; for me a living nightmare of stress and hassle.

Perhaps a lot of my perspective comes from medication withdrawal. It makes sense that I would be overcome with anxiety and insomnia, given that I was so dependent on sleeping pills and tranquillisers. It makes sense that my view of the world would be coloured by the destabilised brain chemistry, having abruptly stopped taking strong psychiatric medication.

I wonder what will happen - whether my relationship can withstand this dark mood; whether my colleagues can tolerate my irritability; whether my fragile health will collapse completely and leave me unable to work. I'm not coping at all well, and unfortunately I need to be able to cope with ludicrous amounts of extra stress at the moment. Things will get a lot worse if they're going to stand any chance of getting any better.

Tags: #anxiety #depression

This is a story about keeping people updated...

It's been nearly 2 weeks since I wrote last. I know I've had gaps but this feels like a really long one. Gaps are usually a very bad sign. It's worth worrying about me if I'm not writing. Things are probably going badly if I'm not writing.

I was coping by using a combination of alcohol, sleeping pills, tranquillisers/sedatives and a heck of a lot of comfort eating. I've been teetotal and medication-free for a while now. I'm dieting too. I'm slimmer but I feel awful. Stopping taking all the pills has been brutal. Not having anything to 'take the edge off' has been horrible. The anxiety has been unbearable.

Some concerned friends have sent me messages, but I've felt too swamped to reply. Work is exhausting and there has been the looming holiday, which has caused added stress rather than being something to look forward to: How am I going to afford the loss of earnings as well as the expense of the holiday? My work situation is looking very uncertain for when I get back from holiday, which is a horrible situation to be in, worrying about money instead of enjoying some well-earned time off.

My relationship is good but it's caused some sleepless nights. I'm desperately trying to avoid worsening my exhaustion and sleep deficit, but it's almost impossible to catch up. Stopping the sleeping pills has caused my sleep quality to deteriorate. It's a miracle that I'm still reasonably productive and functional.

The last thing I want to think about is the travel and logistics of going abroad. Buying holiday clothes sounds like fun, but it's another item on a todo list which makes me very stressed out. I'm struggling to figure out when I can fit in all the things I need to do between now and my departure date from the UK. I suppose as long as I've got my passport and a buttload of cash then I can figure things out, but it's not pleasant to be so ill-prepared for a trip.

I'll be 40 years old in exactly one week. I decided to have a barbecue at my house when I was feeling somewhat more buoyant about the way my life was going. Now I feel like cancelling the gathering, because I'm stressed about the extra unnecessary hassle. Having guests over to my house reminds me that I've still barely moved in - I don't have much furniture and the place is a bit of a mess. I don't feel well placed to make my guests comfortable. I have a lot of anxiety about it being a really awkward occasion, with a handful of my long-suffering friends having made the long journey to the provinces, in order to make smalltalk with strangers... a real chore for them.

I'm working as hard as I can in order to feel proud about my contribution to the project I'm working on. I'm desperate that my contribution be remembered as something valuable and that my colleagues recognise the effort I've ploughed in. Work's become a bit of an unhealthy obsession and I'm significantly over-invested, emotionally. I can picture myself getting very depressed when I'm forced to leave the project because of contractual shenanigans, and through no fault of my own.

My life is deeply unbalanced; unhealthy. I'm not drinking alcohol and I'm dieting, so I've lost weight, and I've managed to get a bit of sun, so I look quite healthy, but inside I'm very sick. The stress of the past years seems to have ratcheted up as my life has become more 'normal' and 'stable' recently - things were easier when I was living out of a suitcase, in some ways, although I appreciate that I was very miserable and living much more unhealthily.

Readers who've followed me for any significant length of time will probably have a better idea than me as to whether I'm in a better place today than I was a few months ago, a year ago, several years ago. Things feel terrible but they probably aren't.

The stresses seem to be the same as ever, particularly concerning my security vetting. A colleague contacted me to say they were reading my blog. They seemed enthusiastic about the prospect of working with me, despite what they'd read, and the feedback seemed generally positive. It's the first time that a colleague has been brave enough to tell me that they've been reading my blog. Of course, the security vetting people have been reading too. I wonder if the security vetting people are as sympathetic to my stresses, and look favourably upon my ability to maintain an impeccably high standard of professionalism in the office, whilst undergoing some horrendous chaos in my personal life; struggling so much with my mental health. I wonder if all the talk about being sympathetic towards mental health issues is just hot air.

I wanted to write a short update, because I know people are worried about my uncharacteristic quietness. I've kinda failed. I'm doing OK, but I'm also really struggling too. Plenty of reasons to be concerned, but things are not completely ruined and on collision course with disaster... in fact I might even weather this storm and emerge in a reasonably good situation.

I'll try to write a little more regularly, but I don't want to be a stuck record, endlessly moaning about how unpleasant the effect of stopping medication is. I don't want to wallow in misery.

It's summer. I have money. I have employment for a little while longer. I have an awesome holiday booked. I have a very nice girlfriend. I have a cute kitten. I have a big house. Things are not terrible.

I'm not taking any medication, not drinking, dieting. I'm losing weight and my brain is getting back to a stable state without any alien chemicals. It's good to be free from the shackles of chemical dependency.

If I can push through this tricky period and keep the wheels turning, then I think my forties are going to be a much better period of life than parts of my thirties. It does feel good to be turning a corner as I reach an age when I should be growing old less disgracefully.

I've written more than I wanted to but I hope you'll forgive me. You're all up to date now.

Tags: #anxiety #alcohol #depression #medication #bipolar #career #holiday

This is a story about todo lists...

My list of simple mundane and relatively easily-achieved tasks seems to keep growing, despite the frenetic pace with which I am doing things. Most of my energy is ploughed into the project I'm involved with at work, which is reaching a critical juncture, but there are also other deadlines bearing down on me.

My car's roadworthiness test must be completed within the next fortnight. I had few problems with the car last year, but it's getting very old so I am not expecting to be so lucky this year. Certainly, there is a wheel bearing which needs replacing and the dashboard tells me that it's 5,000 miles overdue for a service. I would be very surprised if it did not cost me several hundred pounds and leave me without my car for a few days. The timing is not good, because I really need to be in the office every single day of the working week at the moment.

It might sound silly, but my hair needs to be cut twice in the next month. My hair is well overdue being cut - especially in the warm summer weather - but I will also want to get my hair cut again soon before going away on holiday. I'm planning on spending quite a lot of time in the sun, so it makes sense to have my hair cut short before going abroad, otherwise my skin will be pale under my mop of hair.

For a whole week of the holiday, I will be expected to wear quite smart clothes - a collar and trousers with some smart shoes - instead of the casual beachwear which is my usual attire when on holiday. I like to spend my entire holidays wearing a T-shirt, board-shorts and a pair of flip-flops, but the resort where I'll be staying insists on outfits more befitting of a golf clubhouse or country club. I usually stay in laid-back surfer crash-pads, and I'm not a member of a golf club or a country club, so my wardrobe lacks chinos, polo shirts and other clothing items which are de rigueur in the kinds of places where rich old men hang out, flaunting their wealth. Therefore, I need to go shopping, to buy a whole bunch of clothes which I only really need because of the dress code at the holiday resort where I'm staying for a week.

My clothing situation is generally pretty bad. I only have one pair of jeans which are not completely worn out, and wearing board-shorts to work would be unprofessional. I wear a smart dress shirt every day along with a fine-gauge knitwear V-neck jumper - it's a kind of uniform for me. However, the weather is improving and the office has no air-conditioning, so I would like to have a lighter pair of trousers to wear and some other shirts, which will look smart and professional without a jumper. My summer shoes are falling to pieces. Some of my colleagues wear sandals, but I've never seen any colleagues wearing flip-flops and I think it would be unprofessional of me to do so.

In order to pay for the most ludicrously expensive and over-the-top ridiculously luxurious holiday I've ever had in my life, I will have to do some quite clever accounting: juggling money around the place, so that my cashflow is not impacted. There are lots of parts of the holiday with a balance to pay, and I need to be careful to make sure that I don't use up more than 50% of the credit limit on any of my credit cards, which would adversely affect my credit rating.

My credit rating is super important right now, because I'm undergoing security vetting which is an incredibly invasive and exhaustive examination of every aspect of my life, including my credit history. It's important that I manage my money well so that part of the vetting process proceeds in an unproblematic fashion.

Spending 17 nights away from home and skipping 12 working days poses a big problem for the project I'm working on. The timing is less-than-perfect, putting it mildly. I need to take a holiday - I'm exhausted - but I also need to ensure some very important milestones are not jeopardised, plus my job is under threat and the loss of income is a source of stress. I will not be returning from holiday feeling relaxed, because I will need to secure myself a new contract as quickly as possible.

My todo list also includes difficult things, such as tapering off medications which I no longer want to be dependent on. There's relentless pressure on me to keep cutting my dosages, so that I'm medication-free by the time my holiday starts.

I need to get ready for a barbecue I'm planning on throwing to celebrate my 40th birthday. This requires the purchase of an actual barbecue, plus charcoal and all the food, of course. Further, I will probably have to make sure I have adequate beds and bedding for any guests who are staying over. I have plenty of time to prepare, but it's another deadline that is looming.

My kitesurfing equipment really needs some TLC before I go away on holiday and I need to purchase her a kitesurfing harness for my girlfriend if I'm going to teach her how to kitesurf while we're on holiday. Some of my kitesurfing equipment is more than a decade old and likely to break, unless I replace the worn-out parts. Having an equipment failure in a remote part of the world is likely to be expensive and/or cause me to lose valuable time on the ocean.

None of this is beyond the wit of man, but it's very hard to take care of all these odds and sods when I'm extremely time poor and quite exhausted by my very demanding job. I suppose things will happen at the last minute and everything will be alright, but I also anticipate that the next two months will drain every bit of energy I possess. I suppose there will be the occasional moment - on holiday - when there is nothing pressing in the complex itinerary: a flight to catch, a long drive, or indeed a smart outfit to be donned in order to simply grab a bite to eat.

These are almost all first-world problems, and indeed wealthy middle-class problems. I know that many British people on low incomes will struggle to get their decrepit old cars through their roadworthiness tests, but at least I have the financial means to pay for any unexpectedly high garage bills, although at some point it's not economical to spend hundreds of pounds on a car which is worth less than my smartphone, and I would be better off buying a new car, which at least I am fortunate enough to be able to do... although I would question whether it's a smart move getting a new car when my future employment is uncertain.

As you can see... I've got quite a lot going on at the moment, and not enough hours in the day.

Tags: #stress #holiday #career #anxiety

This is a story about going on a diet...

571 days ago I decided that I was allowed to drink heavily and eat whatever I wanted. I had at least a bottle of wine every day and ate mostly fast food. I decided that this was my reward for working virtually non-stop: to guzzle gallons of alcohol and devour mountains of fatty food. My evenings were spent in McDonalds, KFC, curry houses and pizza places. My evenings were spent drinking glass after glass of red wine.

Unsurprisingly, I put on weight.

I was living in a hotel for a while, which was next door to a gastropub. I lived on calorific food, like lasagne & chips, washed down with large glasses of red wine. When I got back to my hotel room, I would continue drinking large glasses of wine. I decided that it was my reward for the miserable life of living in a hotel, to eat and drink with gay abandon.

I put on more weight.

Then, I noticed that I was putting on weight. I noticed that I had a tummy. I got out of the shower one day and I saw my own reflection in the mirror, and I realised that I had gained a belly. I've never really had any problems with my weight, so I was kinda shocked, although by this point I had been gaining weight steadily for roughly 9 months.

I didn't change my behaviour.

I did stop living in the hotel. However, I lived on takeaways and beer. I had a takeaway almost every night of the week, and I washed all that fatty food down with vast quantities of beer. I was going to the supermarket on an almost daily basis to re-stock the fridge with beer.

Then I stopped drinking.

My alcoholic friend killed himself. He drank himself to death. His alcoholism had raged out of control for a long time and hadn't claimed his life, but health complications quickly began to create a compounding problem and he knew that he was going to die; his quality of life was rapidly deteriorating. This event, coupled with my unhappiness about being a little overweight, was enough of a catalyst for me to quit drinking.

I was teetotal for nearly 5 months.

Then, I started drinking heavily, eating restaurant food and having takeaways on a regular basis. I drank loads of white wine and ate lots of very rich gourmet food. I had lost some weight by simply being teetotal. I had reached a point where my weight was under control and I felt better about my appearance, but then I quickly undid that by drinking and eating so much.

Now, I'm trying to lose weight again.

I'm not trying very hard to lose weight. All I've done is cut my daily calorie intake. I've stopped drinking - mostly - and I've stopped having takeaways and restaurant food - mostly - and I've stopped having large lunches. I've stopped eating breakfast. I've stopped snacking. On average, my weekly calorie intake has been cut pretty drastically.

I still don't do any exercise.

I joined a gym at one point, but I never actually went. The circumstances of my job changed and I found myself living in the hotel. It was hard to motivate myself to go to the gym when I had the miserable existence of living in a hotel. The highlight of my evening was my gastropub meal and red wine, so I can't imagine that there'd have been much point going to the gym.

I should do some exercise.

I'm making some very big changes to my medication at the moment. I'm tapering off high doses of tranquilisers and sleeping pills, in order to be medication-free by the time I go away on holiday, the day before my 40th birthday. I have less than a month to rid myself of physically addictive benzodiazepines and highly psychologically addictive sleeping pills. I have a horrible month ahead of me, filled with rebound anxiety and rebound insomnia. It's not easy to stop taking medication and it's extremely unpleasant to rapidly stop. Going cold turkey is not even an option - I could have seizures.

I'm making good progress.

Apart from last night, where I got extremely drunk and ate a gigantic burger and chips, Friday night where I drank two bottles of white wine, and Monday evening when I had a takeaway, I've not been drinking, eating takeaways or eating in restaurants. I've also managed to reduce my sleeping pills by 33% and my tranquilisers by 50%. I'm changing a lot of things all at once. It's very difficult to change so many things all at once, especially while I'm going through a very stressful high-pressure period at work, with some very demanding tight deadlines.

It'd be wonderful if I was superhuman and I could work full-time, have very little sleep, write every day, look after my kitten, keep my house clean, quit drinking, go on a diet, stop taking addictive medication AND do some exercise, but I'm afraid that it's too much to ask - the exercise will have to wait until life gets a little easier.

I know that I'll get more enjoyment out of my holiday if I'm fitter and in better shape, but the holiday is the respite I desperately need; the rest and recuperation; the reward for 571 days of almost continuous work, with the exception of a week-long jaunt to Turkey and two weeks in Mexico. My last holiday was nearly 7 months ago, and I've been through a house move and a breakup, as well as working exceptionally hard.

The beach body will have to wait, although my small lifestyle adjustments will help. The weight isn't just going to magically disappear, but I shall have to content myself with stopping the rot - I simply haven't got the bandwidth to be able to exercise on top of everything else on my plate.

Tags: #weight #diet #exercise #gym #food #holiday #career #alcohol #medication

This is a story about living a lie...

I've been accused by a BBC journalist as being a fake - creating a contrived story - although she did come to visit me when I was held in a secure psychiatric ward, so I wonder whether she continued to suspect my authenticity after that. A recovering alcoholic from the South-West of England, who had recently started a blog, and a mutual friend of ours who had lost a child to suicide, decided that I was a journalist. Most recently, a person who I considered a friend who had once offered to accomodate me when I was facing homelessness, but then quite suddenly retracted that offer, said that they had considered my bipolar diagnosis "doubtful" and told me that they'd "lost faith in [me] as a real person". These are just some of the examples of people who have taken an interest in my story, only to later suggest that I'm a fictional character; a figment of my own imagination.

It would be quite nice to be a fictional character. Assuming that this blog is written by a human being and not an artificially intelligent Nickbot™ then it seems logical to further hypothesise that the author lives a pleasant life free from mental illness and the mood instability of bipolar disorder. It sounds really nice to be a fiction author or journalist, who has the time to create a character for the world to read about. It sounds like a super pleasant existence, being able to write a fake blog about a fake person and to inflict fictional unpleasantnesses upon that non-existent person, instead of a real human being having to experience terrible things. It sounds a lot better to me, that there should be a "real person" out there who is having a nice time, and that all the bad times never happened at all - they were all just stories.

Unfortunately, I feel pretty real. If I pinch my skin it hurts. If I slap my face it hurts. When things are going wrong, it hurts. When things are stressful, it's very unpleasant. When things go wrong, it's awful.

I really wish I wasn't a "real person".

It seems like a lot of effort to go to, spending 4 years of your life writing 1.2 million words, to create an artificial entity - a fictional person living in a fictional world - when it must be clear that I derive no monetary reward from this endeavour. Do you think I get paid a salary to write this blog? Do you see any adverts anywhere? Do you hear me promoting products? How does the "real person" make their money and why would anybody pay money to create a fictitious "Nick Grant" character?

The most disturbing and upsetting part of accusations that I'm not "real" is that I've been hospitalised 3 times with multiple organ failure as a result of trying to end my own life. I've spent months in secure psychiatric wards. I've spent years trying different medications and suffering their side effects. I've seen so many doctors, specialty doctors, mental health nurses, psychiatrists, social workers and various support workers who are part of community mental health teams and crisis teams. I nearly died a whole bunch of times... like, serious not messing around, major medical emergency, miracle I'm still alive kind of nearly died.

Am I supposed to be sorry that at the moment my job is going well, which has earned me a lot of money, such that I've been able to get a lovely big house, furnish it, get a gorgeous bengal kitten and meet a beautiful girlfriend? Am I supposed to be apologetic about that? Am I not supposed to have any of that?

Bipolar disorder has been destructive and destabilising and has caused me to have to start my life from scratch. Bipolar disorder has caused me years and years of dysfunctional behaviour, which stopped me from having a happy life and enjoying health, wealth and prosperity. Am I supposed to stay stuck eternally in that perpetual state of mood instability, which was so extreme that my life was ruined?

If I knew what the 'cure' was for bipolar, I'd gladly tell you what it is, but as I've written before, I don't think I'm cured at all. A lot of hard work goes into managing my mental health condition without medication. In fact, choosing to be unmedicated is one of very many difficult decisions I've made, along with choosing to work, when I would much prefer to abandon all responsibility and assume that there's a magic pill which will 'cure' me enough for me to be able to sit around watching TV collecting my government handouts.

I have episodes where I appear to be very functional. Am I supposed to be sorry about that? These episodes where I'm functional don't come for free: I work very hard to keep my mood as stable as I can.

You're right: I'm no longer sleeping rough. You're right: my circumstances have improved considerably. You're right: my life looks somewhat enviable. How many times have you slept rough? How many times have you been hospitalised with multiple organ failure? How many months have you spent under lock and key on a secure psych ward? How many different strong psychiatric medications have you tried? How many doctors have you had? How much have you lost? What's the lowest you've ever got - have you ever lost literally everything and had to start your life again from scratch?

If you think that somebody who's nearly died a bunch of times and who's slept rough, destitute, has no need or want for a nice house, a gorgeous kitten and a beautiful girlfriend, then you're a complete idiot. You think I'd settle for living in a tent? You think I'd settle for a few ragged dirty clothes? You think I'd settle for one meal a day from my local soup kitchen? Do you think somehow that I should have lowered my sights and curtailed my life ambitions, because I've experienced the very worst that life has to offer? Fool.

If I had the 'cure' for bipolar disorder then I'd share it for sure. In fact, maybe there are lessons to be learned. I've exhaustively documented every single gory detail of my life in the hope that it would be read, and that it might prove interesting and perhaps even useful to the general public. You're welcome.

As for those of you who think I should be sleeping on a piece of cardboard in a shop doorway, begging, because that seems more "real" then I'm sorry to disappoint you, but I like my life better, even if you think you have the right to tell me that I should be deliberately choosing to deprive myself of nice things. I like my nice house, I like my gorgeous kitten and I like my beautiful girlfriend, even if those things don't fit with the narrative which you invented. There's 4 years of my life and 1.2 million words if you want to go digging to find some of the really awful times from my past.

I continue, as ever, to write with unflinching candid honesty about the reality of my day-to-day existence.

Tags: #writing

This is a story about personal responsibility...

I often like to think that I'm 'cured' of bipolar, but the reality is that I can have incredibly functional periods, where it certainly appears to the outside observer as if I'm perfectly healthy. However, the stability of my life - and my mood - is not due to having received treatment, nor is it accident or pure good luck. There are a lot of choices, deliberately made, which keep me functional.

We must accept that whether I'm functional or not, I do experience a mood disorder: bipolar. I can be suicidally depressed but working productively at my desk, with my colleagues blissfully ignorant of my distress and the danger to my life. I can be fighting to control my hypomania with every fibre of my being, desperate to unleash the 'high' episode and experience a period of incredible creativity and productivity, but I know that my colleagues would bear the brunt of my irritability, and their suspicions would be raised by my fast speech and general intensity... I would be told to go home; I would be told I'm working too hard, and I would ignore them, only to subsequently crash.

I'm prone to taking huge risks. I'm prone to depressions that leave me unable to leave my bed or face the world for long periods. I'm prone to hypomanic episodes where I take on ridiculously huge projects, and somehow manage to complete them, but at great expense to my health and stability.

Nobody could say that I don't have to be aware of my bipolar disorder at all times, because it always threatens to plunge me into suicidal depression, or make my hypomanically high - neither state is compatible with a regular 9 to 5 Monday to Friday office job.

Luckily, nobody employs me because I'm a slow and steady guy; nobody employs me because I plod along doing nothing much in particular, keeping a low profile. The reason why I get employed is because I get stuff done. I get a lot of stuff done. I get things done that people say couldn't be done. Then, one day "I can't even" as the kids say. Yep. That's a complete sentence. I can't even finish a sentence properly when I'm having one of those episodes. I become dysfunctional if I don't manage my illness. There's no denying that I'm unwell when I get so sick I can't leave my bed, answer my phone or send an email: I go AWOL.

For years I struggled with the different episodes. I allowed too much of my hypomania to be conspicuously visible in the office. I allowed too much of my depression to overspill from my private life. I was in the office when I shouldn't have been and I wasn't in the office when I should have been. I allowed my mood to dictate my behaviour, as so many of us do, because it's virtually impossible to behave otherwise.

I tried being my own boss, so I could work as hard as I wanted when I was hypomanic, and sleep as much as I needed when I was depressed. Things got worse, not better. I tried tablets. I tried so many tablets. Things got worse. Things got so much worse and I became so dysfunctional that my life fell apart, but nobody believed me. I was sleeping rough in Kensington Palace Gardens - a complete mess - but because I sound posh and intelligent, and I've had a great career, nobody believed that I was losing my battle with my mental illness, and I was incredibly vulnerable. I desperately needed help, but to outside observers, I seemed to have some semblance of the self-reliance I'd always had... everyone assumed that I was as competent and capable as I'd ever been, and that I could take care of myself.

Things got very bad. I was hospitalised several times, both for medical emergencies due to physical health problems which threatened my life, and for the seemingly unending mental health crisis I was suffering. The fact I was alive was taken as evidence of my resourceful nature and self-preservation instincts - my ability to be responsible for myself - but it's pure blind luck that I'm not dead, along with a heck of a lot of skill, effort and energy by a vast number of medical professionals, who've saved my life during various organ failures, seizures and generally near-fatal awfulness which took place in high dependency hospital wards and intensive treatment units.

Today, my life gives few clues about the journey to this point. I have two large scars on my legs and a tattoo behind my ear. The tattoo is something that any observant person might see, as a tiny clue that I've been though some pretty appalling stuff, but the scars are usually hidden beneath my clothes.

The length of time that I've spent working closely with a close-knit group of colleagues, and what we've achieved together as a team, is the basis for the impression that people have of me, along with my general demeanour. I'm lucky enough to have retained my full faculties and suffer no impairment due to the horrors of the past. My colleagues see a competent and capable individual who they have come to depend upon - they trust me and the seek out my opinion. In this sense, you could be forgiven for thinking me 'cured' of bipolar.

I'm hoping that I will stay in my new home city for a long time, and I will build an ever-increasing circle of friends, neighbours and other acquaintances, who see me going about my daily business; who have pleasant normal interactions with me. My existence is clearly no longer full of crises; I'm obviously much more stable than I was, and that stability has proven reasonably reliable.

None of this is an accident. None of this is pure chance.

I don't have any caffeine. I know that alcohol is bad for me, and I avoided it for months, which was very beneficial to my health. I try to sleep as much as possible - 10 or 12 hours a night whenever I can. I keep to a routine... I keep to a REALLY STRICT routine if I can. Mealtimes, when I get up, what I wear, what I eat, writing every day, quiet time before bed, glasses to filter out blue light, dietary supplements... these are some of the things that are working well. I know I need to exercise more and I know I need to get more natural light too. It would be healthy to have regular social contact with people outside work. It would be good if I had a local support network.

My job often bores me, but I put up with it. I'm often too depressed and anxious to get out of bed and go to the office but I force myself. I often find there's not enough time to watch films and documentaries, or do anything other than write, eat and get ready for bed, after work, but I'm trying to do more.

I've gotten tired. Really tired.

Last week was incredibly exhausting. Work was immensely stressful and demanding. Some relationship difficulties cause me to lose a lot of sleep, as well as being very emotionally demanding and stressful. I got a kitten, which has been extremely rewarding and exciting, but also a disruption to my delicate routine and an additional set of responsibilities.

Adrenalin has carried me through the past few weeks and I've managed to skip almost entire nights of sleep on several occasions, seemingly without consequence, but it's all caught up with me.

I haven't been looking after myself.

I've broken my rules.

I've broken the rules which keep me safe, healthy, secure and stable. I've broken the rules which have kept me functional for a very long period of time. I've broken the rules which I invented to end the crises and the dangerous highs and lows. I've broken the rules and I've paid the price.

I'm not sick but I'm not well.

I underestimated the damage it would do to my health, drinking too much and staying up all night. I overestimated my ability to cope with extra stress and big changes. Suddenly I have a girlfriend and a kitten, where previously I had nothing but a big empty house. My life is immensely more pleasant and enjoyable, but it's also suddenly become incredibly fragile. I'm suffering bouts of insecurity and occasional outbursts of frustration that my comfortable stable security and safety margin of spare energy has been exhausted, leaving me irritable and impatient.

It's my responsibility to make sure that I'm getting enough sleep. There aren't enough hours in the day, but I can take some holiday. I've worked non-stop since I got home from Mexico at the start of January. Nobody can work so hard, move house, get a girlfriend, furnish a home and get a kitten, without having a holiday. I've been relentless. I've acted as if I've got limitless energy and a superhuman ability to achieve impossible feats at incredible speed. To all intents and purposes, I've pulled off almost everything, but the cracks are showing - I'm heading for disaster.

Whether I've already gone too far, allowing myself to become too tired and letting myself become unwell, remains to be seen. I was irritable and unpleasant last night, and there might be consequences. Who knows what damage I've done?

I'm going to sleep until lunchtime tomorrow. I'm going to recharge my batteries.

I know that a few extra hours sleep is not enough. I need a whole week of lie-ins. I need a whole week of afternoon naps. I need at least a whole week of being free from the relentless demands which I've faced this year. I desperately need another holiday. I've left it too long, as usual, but I hate going away on my own.

That's another part of the non-pharmaceutical treatment for my bipolar disorder: holidays. I genuinely need holidays for the sake of my health, but when my life was chaotic I would work as hard as I could for as long as I could when I was well, because I felt so much pressure to earn as much money as possible, to support me during episodes of illness. I've come to realise that it's incredibly unhealthy to have 6, 9, 12 and even 18 months without a proper holiday. I need a week away. I need a week of rest and relaxation, and ideally that would be with my girlfriend, if I haven't p*ssed her off and upset her with my unstable mood already.

I wonder if I'll make it - last long enough - to be able to go away on a nice holiday to recharge my batteries. I think that I need to start taking evasive action immediately. I need to be strict with my bedtime. I need to be strict with alcohol. I need to take some mornings off work to catch up on sleep. It might be advisable to take a whole week off and just do nothing for the sake of my health. I know that I've let my health get into a precarious state.

I haven't looked after myself and I need to act.

I could spend a week pottering around my lovely house, with my kitten to keep me company. I think my health would benefit significantly. I need to loosen my grip on my work. I need to relax. I need to rest and recuperate.

Burnout is not good. I'm so sick of burning out. I'm so sick of episodes of mood disorder. I can regain stability, but I need to recognise that I'm not well and I need to act immediately. Yes, I could cling on until the end of July for a holiday with my girlfriend, but there's a huge chance I could get really sick if I try to wait that long. I'm going to have to take some time off work, for health reasons, and it's not the end of the world.

I hope I write again soon that I did the sensible thing, and that I'm getting on top of managing my health. I hope to write that I'm regaining some safety margin, so that I can remain cool, calm and patient, and not be irritable and unpleasant. I hope to write that I'm treating my girlfriend nicely, not being an exhausted wreck, full of insecurity and instability.

I feel super bad that I've mismanaged my illness, but all I can do now is to try to look after myself.

Tags: #bipolar

This is a story about peaks and troughs...

My story begins exactly 8 years ago, on May 4th 2011. I was the CEO of a profitable startup with prestigious clients paying to use my product. It was my idea, I had designed & implemented the system and I had successfully done deals with big companies. I had just started a TechStars accelerator program in Cambridge, run by Jon Bradford and Jess Williamson, and I was about to meet 46 mentors in week of "mentor madness" which is like speed dating, to hook up startup founders with experienced successful people from the tech industry, who were kindly offering to help 10 lucky teams on the TechStars program, along with my co-founder and I.

I was surrounded by super-smart people in Cambridge. My startup was growing very fast and I had done a great job of getting the company to where it was with very little help. I was hot property - a pin-up for the UK startup scene.

My co-founder was a much more likeable and charismatic guy who once ran a karaoke bar and had a far better temprament for being CEO, but I wanted the glory of having that coveted job title for myself. I emphatically rejected the suggestion that it might be better for the company if we were to switch roles, and I was to take the position of CTO. Fundamentally I'm good at technology, but not necessarily the best people person: I had, for example, already managed to make my co-founder cry in front of a Google executive. As CEO, I was pretty vicious and ruthless, because I was so desperately ambitious.

This particular May 4th, in 2011, was a moment when my potential net worth was at its highest. This was my golden opportunity to make my millions.

This next picture is taken exactly 5 years ago, on May 4th 2014. I had just woken up in the Royal Free Hospital, Hampstead, London. This is the view from my hospital bed. I was surprised to be awake, because my kidneys were failing, my liver was damaged, there was a lot of fluid on my lungs and my heart was not functioning healthily - I had arrhythmias and my blood pressure was dangerously low. I hadn't expected to survive the night, so it was nice to be greeted by such a pleasant view in the morning.

By this point, I'd had to resign as CEO, sell my share of the company that I founded. The company still continued to trade very profitably without me and was getting big-name clients, but I had failed, personally. My co-founder stepped in and did a great job of smoothing things over with our investors and our clients, but my own reputation was damaged and I was heartbroken; ashamed.

I had just gotten divorced and sold my house.

My dreams were destroyed: I lost my company, my wife and my house. I tried to kill myself. That's how I ended up in hospital. I was lucky to survive.

Exactly 4 years ago, on May 4th 2015 it seemed like I was getting my life back on track. I had been doing consultancy work for Barclays, which was very lucrative. Jon Bradford - the guy who ran the TechStars startup accelerator in Cambridge - had written about how I'd "sold out" and gone back to the world of banking and the easy money that was to be made in the Square Mile and Canary Wharf, which was hurtful. I was not happy. I knew I had sold out, but I needed money to pay the bills. I was couch surfing and living in AirBnBs. My life was chaotic. I loved being in London, but it was tearing through my dwindling savings and I was still heartbroken about my divorce and losing my company.

This photo is interesting, because it predates one of the most insane moments of my life. I was so exhausted and sleep deprived, that soon after this photo was taken I started hearing voices and generally suffering a major psychotic episode. My mind completely capitulated and I was lost to madness, briefly. It seems very strange now, writing about it, when I consider myself to have pretty good mental health, but at the time - 4 years ago - I was extremely unwell.

Exactly 3 years ago, on May 4th 2016, I was skimming stones into the Thames on this little rocky 'beach' on the banks of the river, by my apartment. A lucrative contract with HSBC had allowed me to get an apartment with the most stunning views over London and my life was starting to improve.

I had been an extremely passionate kitesurfer, which had taken me all over the world, seeking out the best wind and waves. During my divorce, having to step down as CEO of the company I founded, and the period when I was very unwell, I hadn't been doing any kitesurfing. Living by the river on a part which was tidal gave me back the connection to water which had been missing from my life. A friend came to visit and was even brave enough to kitesurf from this 'beach' despite the Thames being a particularly treacherous waterway to navigate, especially without an engine - the wind was gusty and unpredictable, but he managed to kitesurf on a 'beach' right in the heart of Central London.

Soon after this pleasant evening skimming stones into the Thames, I went away on a kitesurfing holiday to a desert island off the coast of North Africa, and had a very enjoyable time. 2016 was a good year. I made a lot of money and I had some very nice holidays, as well as meeting the love of my life.

Exactly 2 years ago, on May 4th 2017, I managed to trick my doctor into prescribing me an antidepressant combo called California Rocket Fuel. I'd had a rough winter where I nearly died from DVT which caused my kidneys to fail, and consequently I had lost a lucrative contract with Lloyds Banking Group. My life had been miserable, with a great deal of pain from the muscle and nerve damage from the DVT. I hadn't felt well enough to be able to work.

The love of my life was doing amazingly well in her career - in politics - and was appearing on an almost daily basis on TV, while I was limping around on crutches and taking a lot of very powerful painkillers. I was depressed and I wanted the very most powerful antidepressant I could get, which I discovered was "California Rocket Fuel" by doing some internet research.

I have bipolar disorder. People with bipolar disorder are not supposed to take antidepressants without a mood stabiliser. Doctors are not supposed to prescribe antidepressants to people with bipolar disorder. I had to be extremely sneaky to obtain this prescription, and it was rather cruel how I manipulated the poor unsuspecting doctor into seperately prescribing me the two medications, which are combined to create "California Rocket Fuel".

The result was predictable: Mania.

I went incredibly manic and my behaviour became erratic. I broke up with the love of my life.

. . .

That's the end of the pictures

. . .

When I later regained my mental stability and reflected upon what I had done, I realised I'd made a terrible mistake and I tried to get back together with the love of my life, but my behaviour while manic had been so inexcusably awful that I had ruined any chance of that happening. Agonisingly, she said she still loved me and wanted to take me back, but her family, friends and work colleagues would've been apalled that we were back together again. "If you love them, let them go"... it's been devastatingly hard, but I've tried to come to terms with losing the love of my life, and acknowledge that it'd have been very unfair on her to pursue her after what I put her through.

I left London doubly heartbroken, having lost the love of my life, and leaving the city I've spent most of my adult life in. I love London, but it was time to leave.

Since leaving London, my life has been erratic and unstable at times, but putting the pieces of my broken heart back together again and rebuilding myself to a position of health, wealth and prosperity has been a lot easier than it was in the capital. London placed an enormous amount of stress and strain on me, to generate vast quantities of cash to maintain a high standard of living.

Today, May 4th 2019, I have a fabulous standard of living. Maybe I'm not going to be a millionaire CEO. I've loved and lost a wife and a love of my life. I've nearly lost my life during some very bad medical emergencies. I've nearly lost my mind. However, despite all the adversity, I'm wealthy, I live in a beautiful big house and I'm reasonably successful when I'm dating, so I see no reason why I'm not going to end up with a very enviable life. In fact, I already have a very enviable life.

We expect our lives to take a linear path; continually improving as we get older. My life has been chaotic and unpredictable. My life has been through boom times and and bust in the most extreme way imaginable. I'm 39 years old and I didn't expect to be alive this long. There have been devastating moments, which I thought would destroy me, but they haven't. I thought my bipolar disorder would make my life so unstable that I wouldn't be able to regain control and have a good quality of life, but my life is really awesome and it keeps getting better, although it does take a lot of hard work to maintain stability.

I suppose this overview of an 8 year period of my life, told using 5 pictures, is not going to do justice to the complete story, which is full of hair-raising gory details, as well as some moments of sheer delight, but this brief synopsis does at least give the reader a little insight into who I am, without having to read all the [literally] million words I've written and published on this website.

May the fourth be with you.

Tags: #career #startups #startuplife #london #banking #relationships #bipolar #apartment #medication

This is a story about making people better...

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.

I 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.

Tags: #hospital #mentalhealth #bipolar #medication #depression #anxiety