This is a story about what happened next...

Ordinary person discovers this one weird trick. When they saw what happened next, they were AMAZED!!!

So, I've been accused of being anti-psychiatry, but in fact I'm not. The discovery of chemicals that can cross the blood-brain barrier and affect your perception of the world, has been incredibly important for the understanding of neurological functions, as well as the pathology of mental illness. It's also true that pharmacological interventions are priceless during episodes that would otherwise be unmanageable.

For the record, my own diagnoses have included:

• Clinical depression
• Type II Bipolar Disorder
• Anxiety
• Stress
• Borderline Personality Disorder (BPD)

I've been treated with:

• Antidepressants
• Antipsychotics
• Mood stabilisers
• Anxiolytics / hypnotic sedatives
• Sleep aids

Then having read a meta-analysis of psychiatric treatment outcomes by Robert Whittaker in his books Mad in America and Anatomy of an Epidemic, I decided to embark upon an unethical study, with me as the test subject. I decided to go completely unmedicated.

The general public often associate unmedicated mental health patients with some wild-eyed looney, who has slipped their straightjacket, ducked the tackles of the hospital orderlies and legged it out of some mental health institution. There is an assumption that people with mental health problems are homicidal maniacs, and a danger to the public. I'm here to dispel that myth.

Going unmedicated is not something I would ever advocate. The withdrawal effects from psychiatric medication are likely to be severe and unpredictable. It's not something that should ever be done without consulting your doctor. However, I did it, and this is my account of what happened.

Firstly, coming off medication is hard. Really hard. I've had comedowns from drug abuse that haven't been as bad as coming off anxiety medications, for example. What goes up must come down, and there's no avoiding the fact that coming off a 'feel good' medication means that you are going to feel bad. Really bad.

Fundamentally, that's why many of us take medication, isn't it? To feel normal. To feel better than we would do without it. That's certainly how I got mixed up in the whole world of mental health in the first place... because I felt terrible. I was exhausted and suicidal and depressed and demotivated and I didn't enjoy anything. I needed happy pills, because all my happy had leaked away somewhere, and I was just spending 14 to 16 hours a day asleep, and the rest of it in bed hoping that the world would go away.

The thing is, the unnatural 'happy' pills destabilised me, and my mood then swung too happy, and entered a mood cycle of alternating periods of depression and hypomania. Enter the mood stabilisers. It's starting to sound like a story about the old woman who swallowed a fly, isn't it? For those who are unfamiliar with the story, she then swallowed a spider to catch the fly, and then something else to catch the spider and so on, until she swallowed something so large it killed her.

The problem with trying to treat human moods with medications is that the brain has evolved to be homeostatic. That is to say, the brain has evolved its own mechanisms to maintain stability, and anything you introduce artificially will quite naturally destabilise those systems.

The stability of your moods can also be destabilised by supposedly normal things. We are all supposed to be able to cope with the pressure of exams, work, domestic duties and so on, but for some of us, it will all become too much. Is this mental illness, or are these 'nervous breakdowns' actually something that threaten to blight the lives of every single person? Is it a lottery as to whether the stress will become overwhelming?

I self-medicated for stress for years, using copious amounts of alcohol. Of course, at work you then have to compensate for the foggy mind caused by a hangover, so you start to drink strong coffee. I was probably having the equivalent of about 12 shots of espresso every single day. The amount of caffeine contained in those shots was practically the same as being an amphetamine addict, and indeed my boss at the time - who got me into this destructive lifestyle - had the racing speech and fast jerky movements that you would associate with a speed freak.

When I moved onto harder stimulants, including a drug that would keep me awake for over a week at a time, I found that my mind was not as robust as I had assumed it would be. I managed to induce within myself, symptoms that were unmistakably schizophrenic.

Consumed with paranoid delusions, hearing and seeing things and with completely warped perceptions, I was very mentally unwell indeed. This divided medical opinion. Some professionals wanted to treat me as if I had permanently damaged my brain, and had now become a schizophreniac. Others could see that the symptoms were likely to abate, if I just got some sleep, had some food & drink and started to detox and let my frazzled brain recover. Thankfully, the latter was the correct opinion.

Does that mean that all schizophreniacs can recover and live normal unmedicated lives? No, sadly not. I've seen quite a lot of people who have been suffering acute episodes of mental illness as a result of circumstances or substance abuse, and these people have recovered as soon as they were removed from the situation that landed them in hospital. However, there are clearly some patients who are either too badly damaged, or have some other pathology that is driving their illness, and medication is necessary to control the psychosis & mania.

For my own part, I have lived without caffeine for many years now, and I try to keep alcohol consumption to a minimum. I've been medication free for a few years, but I have dipped back into both sedatives, sleep aids as well as powerful stimulants, during times of crisis. It's been a few months since the last time I dabbled with anything psychoactive, and I'm still suffering rebound anxiety and depression.

Life is incredibly hard right now. I'm stalked by suicidal thoughts all the time, and stress is almost unbearable. I would dearly love the comforting embrace of a chemical security blanket. I long for intoxication. However, despite the hard, sharp edges of daily existence, at least my emotions aren't blunted and I feel like I have wonderful mental clarity.

Every day is a struggle, and my perception of time is completely warped. I feel like this depression is going to last forever, and I assume that everybody hates me and that I have nothing to offer the world, and I'm never going to be happy ever again. However, I'm able to be very rational, and I can see that my perceptions have merely been warped by my mood, which is partly because I'm still recovering from the abuse of sleeping pills, anxiety drugs and stimulants.

It would be easy to write off my tale as that of a drug addict, but that's not really the story. In actual fact, self medication with 'bad' chemicals was only very recently, and well after I was diagnosed with various mental health problems and had already been taking 'good' chemicals (i.e. medications). All psychoactive chemicals are inherently destabilising.

Self medication is a disastrous path to go down, but all attempts to force your moods to go one way or the other without changing the environment that you're in, will be doomed to failure. I wanted happy pills so that I could remain in the rat race, and maintain a standard of living that I had gotten used to. However, what I really needed was to escape that bullshit world.

Propping up my ailing mental health so that I could continue to work a job that I hated and that bored the shit out of me was a dumb choice. Mental health is too precious to fuck about with using pills and potions. If you're not feeling great, that's probably because you need to get out in green spaces more, eat healthier, get some new friends, ditch that mean abusive partner, disown those horrible parents who never congratulate you on your achievements and always give you a hard time, and quit trying so hard to impress people and be somebody you're not.

This is my prescription for life: be myself and tell everybody to shove their ill-informed opinions about my life up their arse. Nobody's an expert in my life and how to live it, and so many of the so-called experts are actually unhappy themselves, nor are they bringing happiness to the lives of the people they advise. Judge people on their results.

Fundamentally, there is an epidemic of mental health issues, and nobody is curing anyone, so trust nobody except for yourself, and do what feels right for you.

I discharged myself, because I was in hospital voluntarily. I've had several 'section' assessments but never been sectioned under the Mental Health Act. However, I'm an unmedicated mental health patient on the loose, so look out!

Tags: #mentalhealth #depression #bipolar #nhs #hospital #suicide #addiction #drugs #alcohol

This is a story about how people respond to incentives...

The last time I was in the Accident & Emergency department of a general hospital, I got a ticking off from the consultant. It was almost as if he didn't understand that the threat of kidney failure and early death was no disincentive to the path through life I was taking. It shouldn't have been a surprise to him: I hadn't gone to the hospital through choice, but instead the police had taken me there.

This was my life for a while: being passed from pillar to post by people who didn't understand what I was going through or how to deal with me. One thing that everybody seemed to agree on though, was that tough love was probably the best option. I should be ridiculed, shamed, talked down to and ostracised until I "saw sense" and decided to change the course of my life. Why would anybody choose the life that I had?

Actually, the police were excellent, seeing as they deal with society's dregs day in and day out. The well-to-do Royal Free hospital on the hills of London's exclusive Hampstead, was perhaps less used to dealing with those who have lost their way in life. Certainly, those who were struggling with drink and addiction, that I met, were sent to more central hospitals, like UCLH on the Euston Road.

I certainly don't see hospital as the first port of call, to rectify issues, and I bandaged my own massive leg wound and would have tried to avoid hospital, had paramedics not insisted that I was admitted, on another occasion.

It is only with regret that I have consumed NHS resources, but I certainly don't feel that there was any choice in the matter. When I injured my leg one night on London's streets, alone, I pulled out the broken glass and let it heal as I lay in agony in a bush for several days, with the blood-soaked wound sticking to my torn trousers. It needed stitches and I needed antibiotics to avoid infection, but I was lucky. I saved the NHS some money and I've got the scars to prove it.

Passing the buck, and driving somebody away from their home, family and friendship groups... making somebody feel ashamed, turning them into an outcast, demonising and villainising somebody... that's ridiculous!

I picked the wrong life partner: somebody judgemental, violent, abusive. That's my fault. I wasn't equipped with the life experience to know that I should walk away. My own parents relationship was full of verbal abuse and psychological warfare, but they stayed together: commitment to a partner was all I knew. I was naïvely optimistic that things would finally work, if only I tried hard enough.

When depression worsened and became bipolar disorder, when bipolar was overshadowed by addiction... things were chaotic, and consumed my sanity, temporarily. I was heavily dependent, trusting, of my partner and my Dad, and my GP. They acted with ignorance and without consideration of my wishes. Later, my partner would act with spite and selfishness.

It's hard to recover if your partner is working against you, and has your Dad in co-operation too. But, I'm going over heavily trodden ground. I don't mean to re-iterate this. I mean instead to talk about another approach: carrot, not stick.

I was dealing with something, in technical terms, called a clusterfuck. A combination of mental health problems, an unsupportive partner, unsupportive and even obstructive family, sex addiction, drug addiction, having to find a new home, new friends, new job... it's too much to ask of somebody. A breakdown, a major relapse, becoming completely dysfunctional: this was made inevitable by the circumstances around me.

Only the police acted with any restraint. The police see lives ruined, and people enter into the revolving-doors of criminal justice. The police know that slapping a criminal conviction onto somebody makes their life harder, rather than improving their chances of rehabilitation into society, so they are reluctant to condemn somebody to that fate. However, many in the rest of society are keen to label and ostracise and destroy their fellow human beings.

We are living in an increasingly isolated society, where we are mistrustful of each other. We avoid listening to anybody's personal story, lest it instil some sense of sympathy within ourselves. To view every stranger as a potential murderer, rapist, paedophile, thief and dirty junkie, is easier than just seeing other human beings, and feeling compelled to hesitate in the rat race for a second and give somebody a hand up.

We are all competing with one another so fiercely, that we believe that it is only with intensely selfish and self-centred actions, to the detriment of society as a whole, that we can get ahead, that we can succeed. We believe that we are helping our family, by turning a blind eye to the beggars, the homeless, the poor and the addicts and alcoholics.

The welfare state is being dismantled. The sympathy of society and the basic human instinct for care and compassion is being eroded. Instead we have a culture of "every man for himself" and we'll allow incredible human suffering to be perpetrated in our names, because we are sold good vs. evil fairytales by a wealthy elite, intent on turning us into scared, isolated consumers.

I feel with certainty that the depression that I feel - the dissatisfaction with what I see in the world - stems directly from an unpleasant attitude that's prevalent everywhere I look: the collapse of social bonds, and the mistrust of strangers, neighbours, fellow human beings.

I've paid over £30,000 just to be treated like a human being, by some kind and compassionate, non-judgemental people. That's all it takes to help somebody on the road to recovery: just don't be an arsehole to them. Be consistently nice to each other, and the world won't be such a shit place that people get depressed in, want to get intoxicated and want to kill themselves.

Yes, it's true that when my life is absolutely appalling, I will probably run to drink & drugs. What's the alternative? The razor blade and the noose.

They feed you in hospital. You could try starving people, to punish them for getting sick, but seeing as that's how I ended up in hospital I can't see why that would work. Carrot works. Stick doesn't

Tags: #depression #suicide #bipolar #mentalhealth #nhs #addiction #drugs

This is a story about living with a mood disorder...

Type II Bipolar Disorder took a long time to diagnose, despite a fairly obvious pattern of moods that can be easily traced back to adolescence. Of course, we all have mood fluctuations, but it's the extremity of those moods that qualifies something as a disorder.

I would say that hypomania was the more obvious one of of my pathological moods. Being able to concentrate and work with great intensity, with little sleep & food and a refusal to be diverted from my task, an irritability for distractions, hypersexuality, spending loads of money, risk-taking. Talking seems too slow to express your thoughts... the speed that you're thinking is too fast to explain to anybody else, to put into words. You're just a blur of activity.

It felt like driving with the hand-brake engaged for a lot of my life. I was always waiting for the next slim window of opportunity to work on something that I loved. Whether that was the Design & Technology at school, where there was never enough time to finish what I was working on before the end-of-class bell, or the lego model I was making, before it was mealtime and playtime was over.

Of course, we all have to work within a timetable, and we all have to eat & sleep, but these things always made me feel like I had to rush at everything I did as fast as I possibly could, in the hope that one day, I would complete one of my projects. I also grew incredibly frustrated with the limitations of timetables, mealtimes, bedtimes.

Switching to the world of work, there wasn't actually very much to do. Most people did very little. I ended up searching around for extra things to do.

The computer network at my first full time job ran like an absolute dog. That was because AppleTalk traffic from the office Macs and their printers was polluting the Ethernet traffic from the Sun SparcStations. I managed to talk my friend Lucas into helping me to rewire all the cables one evening.

I wish I could show you the actual images, but we weren't even supposed to be in the server room. This was a Ministry of Defence prime defence contractor with a high level of security clearance. The two junior programmers aren't supposed to go and fix all the networking problems in the office without any authorisation.

The next morning, everybody was commenting how amazingly well the network was running. Lucas & I obviously couldn't claim any credit, because we had acted without authority, but nobody was going to do a witch-hunt when everybody was so pleased that the most major problem affecting everybody in the office had been solved overnight.

That's pretty much how a person with Bipolar Disorder hides out in a corporation. You bumble along, bored, depressed, coming in late, demotivated... and then you suddenly pull something out of the bag that nobody else would risk their career to do, let alone the lack of sleep and unsociable hours.

Bosses seemed to just accept my erratic working patterns, knowing that when there was something that needed doing with an impossible deadline, that's normally around the time I'd wake up and start hacking something together.

It all kind of hung together until I started at a new company in 2008 and the project they were asking me to do was so huge, I didn't know where to begin. I was just entering a depression, which was bad timing. There was also a cultural problem, where their in-house IT staff built everything using Microsoft Excel, and any 'proper' software was built by Oracle consultants or bought off the shelf... but nobody liked those big expensive systems.

My depression got so bad I couldn't even get out of bed or stop crying randomly. I knew I wasn't going to bounce back quickly from that one. After a couple of months I quit that job and started making iPhone games in my back garden. 18 hours a day, 7 days a week. I couldn't go fast enough.

And so began a completely unstructured phase of my life. I would take on a project or interest, completely immerse myself in it for as many hours as I could stay awake, and stay obsessed with that single task until I burnt out. Then I would be depressed, and with no reason to even drag myself out of bed and go and be miserable at work, I would just be depressed all day in bed. I stopped answering my phone. I stopped answering the door. I never opened the curtains.

Being self-employed after 11 or so years of 9 to 5, Monday to Friday structure and routine, is kind of a red rag to a bull, if you have a tendency towards mood instability.

I relished those periods of hypomania. I wrote a series of iPhone games. I built a wooden summer house. I read a huge pile of books on Theoretical Physics and had lengthy email conversations with professors around the world, I wrote a mobile eLearning system and launched it at Learning Technologies conference, I decided that I wanted to be a startup founder and applied for TechStars, I learnt all about Bitcoin, bought Bitcoin miners and started mining in my summer house, I traded Bitcoin for profit, I wrote my own virtual CPU so I could attack algorithms like SHA-256, I started investigating security loopholes in things like internationalised domain names and the Google and Facebook developer platforms.

It's not long before you stray into legal grey areas though, so a lot of my projects have been shelved and I've had to go on raiding missions back to the corporate world, to stay afloat financially. These are normally timed with my hypomania, so a company gets 3 months of incredible productivity, and then a month or two of me being depressed, and then we normally go our separate ways.

My depressions have gotten worse and worse. They seem to last longer, and I've actually started to harm myself more & more. It's strange, when you emerge from a depression and enter a period of hypomania though... you can't remember just how dark those previous days were. There's no rational voice that says "hey! slow down, or else you're going to crash again!". Instead, the voice says "better go as quick as you can, because we know a crash is coming again soon".

So how do we know that depression is the pathological mood at the other pole from my hypomania? Well, I sleep. A lot. Sometimes 16 hours a day. When I'm awake I have very low energy, low motivation. I have no interest in things I'd normally find enjoyable. I don't want to see or speak to anybody. I generally think that everything is pointless, broken, useless, hopeless. Lots of negative memories keep coming into my head, and make me think "I can't believe I said/did that" with extreme regret, embarrassment, shame. I think the world would be better off without me. I start to do pros & cons of living lists, either in my head or written down. I start to think of ways to kill myself, and what affairs I would need to set in order before I committed suicide. This goes on for weeks, months.

I've written before about trying mood stabilisers and antidepressants. The side effects just aren't compatible with good quality of life. You might think that risk to life outweighs quality of life, but it doesn't, especially when you have the waves of hypomania to surf, before crashing onto the rocks of depression.

My body and my mind seems to have decided to adapt itself to this world, to this society, to this environment. We applaud the kid who busts their balls to study for their exams, and can then collapse in a heap during the school holidays. We applaud the employee who pulls the all-nighters and comes in at weekends when work is behind schedule. We applaud the 'overnight success' stories, when an impressive project is unveiled, seemingly created out of thin air, as if by magic. There is no magic. It's just an unsustainable burst of energy, focus, determination, single-mindedness and a touch of madness.

I'd like to go back to the routine I once had, pre-2009. Only I don't seem to be able to retrace my steps, yet. I know the formula that used to work, and a very dear and trusted friend urges me to take a permanent job, and he's probably right to some extent. However, if it all goes horribly wrong again, I would have earned a fraction of what I would have done in a contract.

I'm hoping I can find my little niché. Somewhere I can deliver more value than keeping a seat warm from Monday to Friday. Somewhere where the bosses are more interested in results than headcount in their empire. Pretentious? Moi?

I don't really care whether you think I should cheer the fuck up or calm the fuck down... my moods seem pretty intent on doing whatever they want to do. I've been fully aware of the calamitous consequences of not keeping my mouth shut at the right time, or not getting out of bed and doing some urgent crap. It doesn't really feel like I'm choosing even if it does look like a choice to you, as an outside observer.

This looks like a load of angst-filled teenaged immature self-centred selfish drivel. It probably is. I call it my life.

I'm probably more self-aware than you give me credit for. If you're thinking "oh my God, can you even hear what you're saying? Can you even hear yourself?" the answer is yes, yes I can. I spend a lot of time cringing and wishing things weren't so, and indeed wondering why I'm like a moth to a flame so often. I can see the train wrecks before they happen. I've plotted my mood and activity data, and the patterns are as clear as day. So what?

I'm sure there are days when you'd really like to be a bird, just soaring on the air currents above the ground, looking down on people & buildings. It doesn't matter how badly you want to be a bird. It doesn't matter how rational it seems, to become a bird and just fly right over that traffic jam that's getting in your way, it's not actually possible. That's a bit like those days when I would really like to feel normal. I can want it, but it's not actually possible. Anybody who tells you that you can stop worrying or be happy just by choosing is full of shit. You have my permission to punch them in their smug mouth.

So, I'd say my experiment with abstinence was a failed one. We need a little alcohol to calm our nerves. We need a little caffeine to perk us up. We know when we need it, and most of us know our limits. We're pretty adept creatures at tweaking our own moods. We probably need a pet for a bit of soothing oxytocin. We probably need a girl/boyfriend for a bit of serotonin and a squirt of dopamine. Other than that, we just need something to keep our minds occupied as a distraction from the inevitability of death and decay. Not God though. God is for crazy people.

Anyway, that's my two cents, on my two poles: Type II Bi-polar Disorder.

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

This is a story about getting airborne...

In startups, we talk a lot about runway. That is, how much money you have left to pay all your bills before you go bankrupt. The thing about doing a startup is, you don't make money from day one. You raise some money, build a product then try to get the revenue up higher than the bills... and you need to do all that before you run out of runway.

Most ordinary working-class folks know a lot about runway. They know that they have to pay their rent, bills and then make the remaining money last for things like food and transport, until payday. Every single month there is uncertainty about whether they're going to be able to get to work, if their money runs out before payday. That's called running out of runway.

A lot of low-paid jobs pay weekly. That's useful for something called cashflow smoothing. It means that your cashflow looks like lots of little peaks that aren't very high. If you got paid the same money on a monthly basis, you'd see a massive spike on payday, and then cash would slope down, down, down for a whole month, before spiking again.

If you run a limited company or a public company, you could pay yourself wages, weekly, monthly, whatever, but wages attract income tax. Income tax is 45% for people in the highest tax band. So if I wanted to do some cashflow smoothing, it's going to cost me 45% of the money I worked hard to earn. That's quite a waste of money if there's another way to pay myself that doesn't attract such high taxes.

Generally, I have to work for a month, then I can invoice my client for the days worked. My invoice is payable within 30 days, but it basically takes a whole extra month to get the money into my limited company.

Ok, great. Now I can pay myself wages... but I'll have to pay 45% tax and loads of national insurance. On the one hand, I really need some cash, because I've already lived for over two months without a single penny of income, but the main person who's going to get rich out of that arrangement is the taxman.

So I work another two months, plus the month for the invoices to be paid. That means that I have three months worth of invoices paid into my limited company. Now it's time to pay myself a dividend. Limited companies can pay dividends from their profits once every quarter. So, to maximise your dividends, you need to have 3 months of invoices paid into your limited company.

But that means that you've been working for 4 months, and not been paid a penny. Harsh man. However, the tax savings are considerable. This is not about me being a tightass with taxes. I always paid full taxes, and then when I got sick, there were no state benefits available to me, despite being under the limit for savings etc. etc. The state safety net just didn't exist when I was homeless and penniless, so fuck the government. I now save the tax and try and set it aside for when I'm sick.

Now, OK, you have your dividend... 3 months pay. You're feeling pretty rich, right? Well, if you've been living in a hostel, you might like to now get a flat. That'll be 6 weeks rent as a deposit, a month's rent in advance, and probably about £500 in estate agent fees. There goes £6,000 of your hard-earned cash.

What about how you lived for those 4 months with no income? How did you do that? I guess you probably had to borrow money. So, you use your remaining dividend to pay off all those debts you ran up, staying alive.

So, what now? Well, you'll have to work for another 4 months, and then pay yourself another dividend, and live off what's left after you got yourself a flat and paid off your debts. Oh, there isn't anything left? Oh dear.

The thing is, the system is fairly well tuned to fuck you. I can borrow money more cheaply than the tax, but the interest is compound, so it works out about the same. I could take a wage and pay the tax, but then I'll have less money left to pay off the debts. Between the banks and the taxman, you're f**ked.

It's true, each quarter things get a little better. I was planning on working for about 9 months, and then I would have been quite nicely sorted, but if you think that it's stressful waiting for payday, try waiting for 4 months for payday.

That's the life of an IT contractor. I'm an IT contractor. That's what I do, for a living. Yes, I could bake bread, stack shelves or work in a warehouse... are you fucking stupid? There's nothing wrong with those jobs, but if I wanted to burn money surely it would make more sense for me to do some IT contracting and then literally set fire to £50 notes. Jeeps, you must have a degree in Economics from Oxford if you think that it's a smart idea to not work the highly paid job I'm qualified and experienced to do, and instead work a job that doesn't cover my cost of living and is stopping me from getting the highly paid job that I'm qualified for. I'm sure that you'll be getting a tenured professorship any day now, with original thinking like that.

My cashflow is lumpy, and I don't have much runway, but at least this time I have the flat already, and a friend who can count higher than the 3 deformed stumps on their retarded hand has helped me to make sure I don't end up driven to suicide by the stress of being let down by liars again.

My plan was to start the contract hunt in the second week of January, when people were coming back from their holidays. I'm over 2 weeks late and sick as hell, but it'll be OK. I somehow got the HSBC job looking like this:

Yes, that's a hospital wristband. Arms are pincushions as usual from double canula and providing a gazillion blood samples (June 2015)

Tags: #career #london #computing #hospital #nhs

This is a story about dying while doing something you love...

Please forgive the gallows humour. I find death quite darkly comic, having lived in its shadow for far too long.

I found myself in possession of a year's supply of Supercrack once. It cost me less than $150 including shipping. A whole year of drug abuse, in one little baggie. Addiction never leaves your side. You can go anywhere you want, but you can't escape yourself.

Having a year's supply of your drug of choice should be an addict's wet dream, right? Well, it depends on the nature of your addiction. If you're still managing to eat and sleep, then perhaps you will make it to the end of the year. If you're not eating or sleeping, then you're simply committing suicide, slowly.

When I was trapped in an abusive relationship and kept away from London, I had given up on life. I was dying. I used to occasionally get scared of death, and clean up my act for a few weeks, but then I would always relapse, because of the same old abusive relationship and isolation from the city I call home.

I finally made it back to London, but there was pointless crap dragging me back into things that were far less important than saving my life.

That's a letter I received, in my mother's handwriting, hassling me about some divorce paperwork that could have waited until I had completed the treatment that I was undergoing to save my life. I had explicitly stated that I didn't want my wife or parents to be in any form of contact with me, while I was trying to get better. During this second attempt, I explicitly forbade my wife and parents from having any contact with me or the professionals who were paid to take care of me.

It was time to get better, get away from the s**ts who nearly hounded me to my grave. It was time to move on. It was time to recover.

Eventually, the vultures f**ked off and thankfully I had enough money left to pay the deposit on a flat and the first couple of months rent and bills, so I could get myself settled, get into a new job etc. etc.

I rented a room in a shared house near some friends in Kentish Town. My time up to this point had been wasted on pointless divorce crap that could have been deferred. I had been relentlessly harassed. Also, having my leg in plaster cast and being on crutches didn't help. My treatment was ruined by people not respecting my wishes. I was in a worse state than ever.

I hobbled into my new room and collapsed. I spent a week crying myself to sleep, I was so exhausted by the trauma of everything that had gone before. I had just about enough money left to make a go of things, but not quite. Everything had to go perfectly.

I had resolved not to commit suicide in my friends' house, where I was a guest, as it would have been a very unpleasant legacy to leave behind in somebody's home. They seemed committed to making that house their forever home, so there was no way I could do that to them.

After moving out and having a week where I felt that I didn't have the reserves of strength and money to continue, I decided to shut up shop. I decided to commit suicide.

The final straw was when my Dad tried to poison my friend's opinion of me, with his warped version of events. People were talking behind my back, and my confidentiality and consent to share information were completely breached. The place where I had spent the best part of £8k on treatment became some kind of counsellor and general centre for misinformation for my parents, despite explicit instructions that they weren't allowed contact.

I took a massive overdose and collapsed on the floor. The three metal prongs of a plug were sticking painfully into my thigh, but I couldn't move. The hot transformer for my laptop was burning my abdomen, scorching the skin, but I couldn't move. My arms were in the most uncomfortable position, but I couldn't move. The weight of my head rested uncomfortably on my chin, with my neck extended very awkwardly, but I couldn't move.

When you have taken an overdose, and you realise that it's overwhelming you, you start to panic. Can you make yourself throw up, if you've swallowed your poison? You know that it's too late... the chemicals are already entering your bloodstream and vomiting will make no difference. There was a moment's regret, and then resignation.

My body spasmed and twitched for quite a long time. There were a lot of auditory disturbances (I heard weird things). My mind kinda went blank for ages, or was caught up with weird confused thoughts. Then it dawned on me that I was alive but still on collision course with death. Day turned to night, and night turned to day, and so on. About 4 days went by with me paralysed like that... just breathing, and my body spasming.

I then started to think about death. I started to consider the possibility that I was going to discover if there was an afterlife or not. I started to think how embarrassed I would be to meet some deity who I never believed in. I didn't start believing in any god, but I considered how sheepish I would be if I met my maker.

Next, I started to think about the waste of it, the waste of life. Not that I was wasting my life, but that there was nothing positive that was going to come from my death. I started to consider how I could leave a message that would somehow prove useful to those who survived me. I started to consider how frustrating it would be to discover something in death, but have no way to pass on that discovery to the living world.

I started to imagine a weird experiment, where two suicidal people would risk their lives to discover if it's possible to communicate from beyond the grave. They would be in two isolated chambers, each with a keyboard. There would be a randomly timed event that would kill them, but they would get about a minute's warning before they were about to be killed. They would then type messages, and only in the event that the messages were co-incidentally the same, would the time be extended.

Eventually, one of the experimenters can type no more and rushes out of the experiment exit to safety. The other experimenter is killed. When the messages are later examined, we can see that the co-incidence of the messages being the same is immensely unlikely, but yet there were a sequence of messages that were identical, despite death being inevitable at that point.

Don't worry, I didn't decide to start a cult with a suicide pact. I did however decide that dying alone, leaving no note or anything was rather silly. I summoned the strength to claw myself off the floor and onto my bed, where I lay in agony for some time.

I urinated into a pint glass - I was virtually immobile - and saw that my urine was cloudy and the colour of orange juice with a lot of blood in it. My organs had started to shut down. My thigh was a painful mess from the plug that had dug into it, and my abdomen was burnt from the laptop transformer. My kidneys hurt and my tummy was tender and painful. My muscles were weak as hell. I had a lot of fluid on my lungs and my chest was tight. Breathing was difficult.

I decided to try and make death a bit quicker by severing my jugular vein, but my blood pressure was so low and it was actually really hard for me to even find a pulse. I kept blacking out with orthostatic hypotension.

Later, my ex-girlfriend discovered me in this dreadful state, and got me to the Royal Free Hospital in Hampstead, where the hard-working lovely people of the NHS saved my life.

Here's the view I woke up to, from my hospital bed. I was quite surprised to wake up (May 2014)

Tags: #addiction #suicide #divorce #depression #london #nhs #injury

This is a story about captains of industry...

The boy stood on the burning deck whence all but he had fled. Is my task yet done? Rats leave a sinking ship but a skipper will go down with his vessel.

There's just no way you can have a meltdown halfway up a rock climb or a mountain that's higher than a rope's length. You wouldn't be able to lower that person safely down to the ground. There's no way you can have a meltdown in the middle of the sea or ocean. There's no chance of you being harmlessly blown into a tranquil harbour.

If you have experience leading a rope party or skippering a yacht, in the hostile environment of the sea and mountains, then you tend to be quite a stoic, calm, rational individual.

I remember we broached my yacht when I was on the foredeck trying to take the spinnaker down. I was hanging onto the spinnaker pole, with nothing but sea underneath my feet, as we heeled right over on our side. It seemed to take an absolute age for her to right herself. I looked back, and my crew were up to their thighs in water that had flooded the cockpit. I yelled "let go of the spinnaker sheets" and my crew member who was gripping the ropes that held the 'kite' in full sail were still gripped in his white knuckles, and his face was blank with terror. I had to repeat myself several times, and change the tone of my voice, so that he would break from his trance and release the wind, allowing me to then pull the sock down the sail and stow it below decks. It's interesting how people respond to catastrophe and stress.

A whole expedition party that I was in, found ourselves at the top of a large rock buttress, which we had to abseil off. There was a single thin metal piton, hammered into a crack in the rock, as an anchor point for our abseil rope. This piton was clearly bending under the weight of a person abseiling. I wasn't leading that expedition, and I was told to shut up and be quiet, when I whispered my concerns to the leaders. This was a decision motivated purely by money. The leaders didn't want to leave behind valuable equipment, in the interests of safety. You should never belay or abseil on a single anchor point, as my friend Sam was to later find, with tragic consequences.

I'm completely mental, and take some crazy risks, but I don't put other people's lives on the line. When I climbed Crib Goch with friends, I took them to a saddle in the hills beneath the mountain where we could get a good view of the ridge, and I showed them the route I was proposing. I told them it was very challenging, and talked about the exposure to steep drops either side. I told them that we would quite possibly have to retrace our steps, if we couldn't find a suitable gully in which to make our retreat. I shared the information, so that each person could make their own decision about the risks. We were all grown ups.

The sign reads "CAUTION: Route to Crib Goch". The choice to continue up to this knife-edge ridge is yours. You read the sign. You stepped over the stile. You knew what you were doing. Individual responsibility.

Our nanny state is trying to protect people from themselves all the time. We have railings at road crossings, so that you can only cross at one specific place. We have warning signs on hot drinks and for hot water taps, cautioning us that hot water is hot. I'm surprised that we don't yet have laws outlawing running with scissors.

From April, the UK is going to have bizarre legislation in place that attempts to outlaw all drugs except for nicotine, alcohol and caffeine. Does this sound sensible to you? Well, it makes about much sense as banning the sale of parachutes, mountain bikes, horses, skis etc. etc. If you look at the statistics, many sports and hobbies are more dangerous than most of the drugs that are being banned.

Drugs are dangerous, don't get me wrong, but the government concentrates on making things illegal, rather than minimising harm and risk and treating those who do get into trouble. I myself became addicted to a legal high, which was made illegal with absolutely no plans around supporting those addicts who were criminalised. There was no treatment plan or alternative offered to me. I was forced to turn to the black market, and then my own savings in order to get treatment in the private sector. If I hadn't had a pot of savings, I would have been picked up by criminal justice, rather than by national health. That's appalling.

If we were to, say, make mountain climbing illegal because it's dangerous, do you think that would stop people wanting to climb? If the danger didn't discourage people, why the hell do you think laws are going to be any deterrent. The laws are flying in the face of human nature.

Imagine every mountain and cliff in the UK, surrounded by a razor-wire fence, with policemen at the gates and patrolling the perimeter. Perhaps there would be guard towers with powerful searchlights, just in case anybody tried to scale or cut through the fence at night. Perhaps the fence could even be electrified. Does that sound like a sensible plan, for the protection of society?

People talk about drugs causing an increase in crime. Yes, there is a mountain of data showing that alcohol causes monumental problems in society. Anti-social behaviour is rife in town centres across the United Kingdom. Binge drinking is out of control. You don't tend to hear a lot about fights at raves though, do you? Yes, not a lot of anti-social behaviour amongst people who just want to dance, even though they have taken loads of pills. Also, Ecstasy is less dangerous than horse-riding, as Prof. David Nutt once famously commented.

We really do need to end this war on drugs, which is a load of hot air, rhetoric, causing the needless destruction of so many lives. Being tough on drugs is just another way of saying that you're going to chuck your friends and relatives under the wheels of the bus because you're too ignorant to educate yourself about the damage of criminalising somebody, demonising them, excluding them from society, offering them no treatment and generally shaming and isolating them, blaming them for society's ills.

Prohibition puts every man woman and child at risk of slipping and falling into the death-trap of the 'undesirable' bucket. We label drug takers as undesirable members of our society, and push them through the revolving doors of a criminal justice system that makes people unemployable, while also connecting together a criminal underworld that has to survive on its wits, given no lawful alternative.

The police are being forced to make judgement calls about whether to pursue prosecution against members of the public, who have made wayward decisions, but are they really criminals? While we haven't solved violent and sexual crime, and the poverty that drives people to steal, how can we be wrecking people's lives for messing around with recreational drugs?

I bought a yacht at the age of 21, and it cost me a buttload of cash. Boat ownership is a costly addiction. Mooring fees, antifouling, repairs, insurance, fuel... all of this nautical dependency was hazardous to my wealth. Did you know that there is no legal requirement to be qualified to navigate UK waters? I could buy a boat and go and get myself in big trouble in some part of the sea that I'm completely clueless about, and then just phone the coastguard to come and rescue me. Does that not seem a little more anti-social, than a gay man taking poppers in the privacy of his own home?

Perhaps I'm not a very good mascot for the anti-criminalisation movement, because I've most definitely cost the NHS a buttload of cash, as they struggled to put Humpty Dumpty back together again. However, maybe I am. If there was actually a plan to help and treat addicts, my issues could have been resolved before I even got so sick that I ended up needing emergency treatment to save my life. A stitch in time saves 9 and all that.

I think I count 32 stitches in my leg. All those stitches were completely avoidable. It was pure ignorance and stupidity and manipulation by government and media that led to me being cornered and attacked. You're looking for victims? Try taking a look at the early deaths and health complications of people who are marked as black sheep, disowned by their own families, labelled as criminals by a 'justice' system and shunned by society, to the point where sure, the needle seems more of a friend than any of the hostile sneering faces.

Why should alcoholics and addicts have to be anonymous? Why should they have to hide themselves away in groups of their own kind, recounting tales of their own weakness, their faults, their shame and their regret. Why do you refuse to give a homeless person money, because "they'll only spend it on drink/drugs"... yes, they probably will, if that's your attitude.

We're kicking people into the gutter, and I'm not OK with that.

When my friend John had completely ballsed up the interview I had gotten for him, and he was facing the reality that life is a little bit harder than just larking around doing whatever the hell you want, he started to become critical of me. He started to attack me rather than make a critical appraisal of himself and his own choices. It was interesting that he tried to use my prior misdemeanours, that I had told him about in confidence, as a weapon against me. It's amongst the reasons why I chucked him out of my flat.

Addicts are not weak people. In fact they are probably a lot stronger than you, because they not only endure the crushing guilt they place on themselves, but they're also a convenient scapegoat for anybody else who's feeling a bit s**t about their own life. Calling somebody a junkie is a lot easier than admitting that you've failed as a fellow member of society. A junkie's life is no way easy. It's a wall of death, with the addict having to ride faster and faster to stay stuck to the wall, while gravity tries to pull them downwards to their untimely demise, destruction.

There's some stats for you, on your common junkie. 15,000 steps a day on average. That's a lot more than your average couch potato, sitting around reading rubbish newspapers, watching crappy TV and sitting in judgement over groups of people they're totally ignorant about.

Do you see an obese junkie? No. Do junkies drain loads of NHS money by giving themselves diabetes, because of all the sugary drinks and junk food they stuff into their faces? No. Junkies are hard working and resourceful.

How would you rather that resourceful intelligent people spent their time? In the getting and taking of drugs, or perhaps put to some more productive aims and objectives?

We are wasting talent. We are wasting human lives. We are destroying people's dignity. We are robbing people of opportunities to shine and show us the better side of their character. We have untapped resource and we are wasting other resource in locking people up and dealing with preventable consequences of terrible drug policies.

There are good people out there... sheep in wolves clothing. We have tarred people with the junkie brush, and it's a crime to write people off like that.

It's a crime to kick people into the gutter.

Tags: #addiction #drugs #alcohol #nhs #injury

This is a story about rehab...

What's the difference between detox, rehab and inpatient treatment for mental health disorders? Very little actually. Here's my little exposé into being a patient of the UK's most notorious private drug and alcohol abuse treatment provider.

As far as my medical records show, I was admitted to The Priory for treatment for Type II Bipolar Disorder, during an episode of acute illness. My private health insurance picked up the bill and JPMorgan gave me the time and the space to get better. They're a great employer actually.

I had found a local private psychiatrist, as I was running out of ideas for how to deal with my Dual Diagnosis (Bipolar & substance abuse) and I knew that the stats weren't good. Not many people recover from such a death sentence of a diagnosis.

I was very lucky to find the psychiatrist that I did. I had been trying to get in contact with a number of specialists directly, but things were very slow going during the Xmas/New Year period, when a lot of people suffer a big decline due to the bad weather and family pressure to put a jolly face on everything during the holiday season.

I contacted a general psychiatrist at the local private hospital, and he turned out to be one of the nicest, kindest people I could ever have hoped to meet. It was pure relief to meet somebody nonjudgemental who would hear my story without leaping to immediate conclusions. The first time I met him, he simply said "we can only play the cards we are dealt" which had me in floods of tears, as it was the first time that anybody had ever said something so kind to me.

I had been taking quite a kicking from my supposed loved ones - but I'm not going to go into that anymore - and been made to feel very guilty and a total failure for having gotten sick. It should be noted that I became clinically depressed and suicidal before any substance abuse entered the picture. Bipolar symptoms had always been present in my life, but it took a further 2 years to get diagnosed. Then, finally, substance abuse reared its ugly head and became the most pressing issue.

From my point of view, I had struggled for years and years with recurrent suicidal ideation, suicide plans. I have struggled all my life with mood instability. To be simply dumped in a bucket labelled 'lost cause addict' was a bit s**t to be honest, after 30 odd years of reliable good service, despite fairly debilitating mental health problems.

Perhaps I'm complaining too much, making too much of a big thing of my struggles? Yes, yes, yes, there are people who've had it so much harder than me, blah, blah, blah. Ok, unless you've sliced your forearms multiple times, lengthways along your veins, with a razor blade, do me a favour and shut up? Some of my friends are wonderfully supportive and have gone out of their way to learn about mental health problems. Perhaps you could follow their example?

So you think this is attention seeking? Save it for the funeral.

It's true that it's taking me a while to work up the bravery to take the Final Exit. Ending your life is a big deal, and you've got to do it right, otherwise you're just going to end up in hospital in pain.

I've had cans of inert gas to suffocate myself, 2 grams of Potassium Cyanide, enough barbiturates to slip into a coma and drown in my hot tub while unconscious, travelled to the top of tall buildings, cliffs and peered over the edge of high bridges. The most serious attempt I made was trying to open my veins with a razor blade. I must admit though, I was just testing the water. You want to make sure that you open some major veins, like the jugular, if you want to die quickly.

Stupidly, I still have hope and some faith in myself. I should write myself off for dead, like those-who-shall-not-be-named have done.

So it came to pass that I went into The Priory, with a referral to one of the country's leading experts on Bipolar Disorder and Dual Diagnosis. JPMorgan were told that I was experiencing mental health problems (true) but the main objective was for me to detox for 28 days, so that there was a clearer clinical picture, and the treatment of my Bipolar and depression could begin.

That makes me an addict right? Don't need to read the rest of the story. Skip to the end. Case closed.

Well, actually, The Priory and my psychiatrists were concerned with my mental health, and saving my life, not just labelling me as an addict and sticking me into the revolving doors of mistreatment and stigma that those suffering individuals endure. The Priory is actually a private hospital, and cares primarily for those suffering with various mental health disorders that are less controversial and stigmatised than substance abuse. There were ten times as many patients who were there because of depression, anxiety, schizophrenia, borderline personality disorder, eating disorders etc. etc.

It's actually all part and parcel of the same group of problems. One fellow patient had been admitted with mental health issues, but out of some drive to self-destruct, she started filling up a mug with alcohol-based hand sanitising gel and flavouring it with orange squash, and drinking it to get drunk.

One of my fellow patients tried to commit suicide by climbing a high wall and hurling herself off, while I was there. Does it matter if she was being treated for depression, or for substance abuse? The fact of the matter is that she was suicidal at that moment. Mental illness of some kind had driven her to try and take her own life.

There was a game we used to play, when a car used to roll up to the house, and out would step the worried looking family members, dragging some dishevelled son, daughter or partner out of the back seat and into a meeting about admission. We used to try and guess what they would be admitted for. Sometimes it was obvious - if they had red wine all spilt down their clothes for example - but often it was nearly impossible.

But what's it actually like, in private hospital? Are there rock stars and stuff? Well, my doctors had treated a number of high-profile sportsmen and women, but when I was there, there weren't any rock stars. Couple of millionaires but no rock stars.

Really, it's much like an NHS mental hospital, except a little more well appointed. Everything is bolted down and the windows don't open and the doors don't lock. The lights don't dangle down and there are no curtains. Mirror glass is made of plastic, and pictures are screwed to the wall, not hung. Yes, there is quite a lot of anti-hanging thought that has gone into things.

When you arrive, you will hand over your razor, scissors, tweezers, solvent containing toiletries, shoelaces, belt etc. to the nurses to keep at their station. If you want to have a shave you'll have to ask for permission, and you'll only get a short amount of time to attack your face with something sharp.

Plus, it's still a hospital, and people are very sick. One woman said to me "it's OK, your secret is safe with me" and tapped her nose with a knowing wink. It later emerged that she thought I was a royal prince, and that my presence in hospital was a state secret. She also came into my room and stole all my underwear and my books, before the nurses tracked down her hiding place.

The rooms are actually as good as any 3-star hotel, with a writing desk, nice view of the gardens, an OK single bed and an ensuite with no shower curtain or plug (drowning is frowned upon). Once you're off suicide watch, you might get to move to one of the double bedrooms that are further away from the nurse's station.

Other than the slight refinement of having a TV and a telephone in your bedroom, there is little different from NHS mental health treatment. The food was very good, I have to say, but your days are generally structured around morning and afternoon trips to the dispensary hatch for your medications, and being regularly checked on by nurses if you're not in some group activity.

Between art therapy, yoga, mindfulness, music therapy, table tennis, TV, movie night and generally socialising with the other patients, it all sounds like a thoroughly lovely spa break. There was a gym and quite big grounds that one could roam in, provided you told the nurses where you were going and how long you'd be gone for. Leaving the compound within my 28 days was forbidden.

Your partner can come and visit you, and you can give a knowing wink at the nurses station before you have sex, so that nobody barges in on you unannounced. Just don't take too long. Visiting is only on a Sunday, so you'll probably have a sack like Santa anyway. You have to hand over your mobile phone and laptop, and digitally detox, so pornography is hard to come by. Probably because sex addiction is also treated at the hospital.

We should remember that although people talk about 'rehab' we need to be quite clear about the treatment route of substance abuse. There is first a detox. It's necessary to break the body's dependence on substances, and treat the withdrawal. If you are an alcohol or a benzodiazepine abuser, there's a good chance that withdrawal could kill you, so the hospital will put you on tapered medication to get you off those substances. If you are an opiate abuser, you will get very sick from withdrawal symptoms, and these can be attenuated with substitute prescribing or by putting the patient into induced sleep. If you are a stimulant abuser, you will suffer cognitive impairment, exhaustion and suicidal depression.

After detox, which could take the whole 28 days, then comes rehabilitation. Depending on how dysfunctional a person has been, they could need 3 to 6 months of rebuilding their damaged life in a safe environment. Just breaking the cycle of chemical dependency is not enough. There's a reason why a person entered that cycle in the first place. There's a reason why that person stayed in that cycle.

We know that gambling addicts don't inject packs of cards into their veins, so addiction can't just be about chemical substances, can it?

So it was, as my time at The Priory drew to a close, the staff gave me the bad news that my treatment was incomplete. I would need another 3 months of rehab if I wanted to make the changes permanent. I flipped out. I discharged myself, went home for a day. Then I spoke to one of the staff on the phone and decided to go back for the remaining few days of treatment. She-who-shall-not-be-named decided that I had "failed" in my commitment to getting better. That's simply a lack of understanding about the commitment that is needed to support somebody in recovery.

Recovery is not about abstinence, it's about having people who love you trying to support you. Support does not mean hectoring, bullying, nitpicking and generally being obnoxious to a person. Your holier-than-thou drinking and smoking and generally behaving like it's OK to do whatever you want and laughing in the face of the abstainer is not helpful, OK?

Abstinence doesn't even work anyway. It's just a continual reminder of what people want to believe: that you're somehow a bad person, that you're faulty, defective. People want to treat you differently, want to label you. Teetotallers are ridiculed, treated with contempt. Why bother being teetotal?

Certainly, not being a smoker was a problem in hospital. There would be long periods where I was left all on my own, because everybody was outside smoking. There is no real abstinence in the world. I found the nurse's stash of caffeinated coffee in one of the more remote kitchens, and in some hospitals you are even allowed to have caffeinated drinks. 'Addicts' are encouraged to not give up smoking and tea/coffee, because they will need those things as a crutch, during those early days of abstinence.

If you look a little more closely at human behaviour, you will see that people are self medicating in one way or another. You'll see the hypocrites, dosing themselves up with stimulants in the form of caffeine. You'll hear the hypocrites, being hypocritical about addiction inbetween puffs on their cigarette. You'll suffer the hypocrites, swallowing their pills and liquids they have as government sanctioned, medically approved substitute addictions.

I could go to my doctor and get a prescription - called a script in addict parlance - for something to salve my addiction and turn it into something seemingly acceptable in society. It's OK if my pills come in boxes from the pharmacy, with my name printed on them and with a prescription from my GP or psychiatrist?

If I had to go to work at the moment I would probably need some Dexamphetamine, or at least a gallon of super strong black coffee. Because I've used so many stimulants, I can drink heaps of coffee without having the anxiety, palpitations and sweats that you would get, but it's a poor substitute for genuine amphetamines, even if the caffeine molecule is virtually identical.

There's no magic in treatment. There's no magic to recovery. It's just time & space and being treated nicely by people, being respected as a human being.

It's important to respect people.

Just respect people.

Tags: #addiction #alcohol #drugs #suicide #mentalhealth #nhs #bipolar #depression

This is a story about challenging your reasons for doing things...

If somebody said to me that Bipolar was an excuse to do whatever you want, whenever you want, I would find my position a little hard to defend. However, to fall into line, to fly straight, to conform, to bend my mood by sheer weight of will... that's not possible.

I'm a fairly liberated character. Since living with daily threat to my life and livelihood, my risk profile has rather altered from that of a normal rational individual. I tend to leap before I look, and certainly with very little premeditation.

To an outside observer, things look erratic, out of control, recklessly dangerous. To me, things look pretty much the same, but my actions do fit onto some kind of macro plan. Even when I backslide into something or somewhere I really don't want to go, it's a bit of a calculated gamble. It happens when there appears to be little else going on of importance, little other opportunity.

So, have I deliberately sabotaged my own life, at times? Yes, I probably have. But you might be surprised to learn that the motives are not always clear cut. I have become quite an uncompromising character, who finds it near impossible to live in a situation where my values, ethics and professional standards are being infringed.

When you have pushed yourself to the limit and beyond to deliver projects, to create cashflow positive businesses, you know the upper bound of what is possible, both personally and for a software team, and what the reward feels like. You start to get a sense of whether it's worth pushing yourself that hard, or not.

When you have sunk to unimaginable depths, in despair and abandonment of everything, you know the lower bounds of what is survivable. You know how low you can go before you will either shuffle off your mortal coil, or some shred of self-preservation instinct is finally activated. You know what it feels like to literally make a life or death decision. You start to get a sense of whether you really want to die, or not.

Above is a picture of me, 24 hours after having been discharged from the psychiatric ward of a hospital. I had been body surfing in Cornwall. Those powerful waves and strong currents. That thrashing violent cold winter sea.

There's little doubt that this extreme environment activated my self-preservation instincts far more effectively than a week-long stay in a locked Mental Health ward, where nurses checked on me every 30 minutes to make sure I hadn't topped myself. That's not to say I'm not extremely grateful to everybody in the NHS who helped me.

Teaching my friend Klaus to surf in Bude, I drifted into the river mouth, where a deeper channel has been cut into the sea bed. The water flowed faster there and I started to be pulled by a strong current, well out of my depth and into the path of breaking waves. I knew that it was going to take time, a load of stamina, and a certain amount of calmness, to swim out of that channel and back into safer waters, and body surf my way back into the shallows where I could stand on the sea floor again. I had no floatation aid, no surfboard of my own.

Drowning in the sea would be a much more unpleasant way to end your days than, say, clattering into the hard ground at 125mph from an aeroplane or a tall building, or slowly losing consciousness as your blood leaked away out of ruptured blood vessels. However, I still find it interesting that I was making game plans to save my own life. Was I going to try and attract the attention of the lifeguards, who would see that I was out of the safe swimming area and come and pick me up? Was I going to try the riskiest but less energy-consuming tactic of swimming for nearby rocks that waves were breaking onto?

It's weird how you can find yourself messing around with Sir Clive Sinclair's latest invention in Cambridge one minute, so full of passion and energy, optimism and enthusiasm. Then your mood seems to suck all the life out of you and you're not sure where or when it's going to bottom out. You're not sure if you're on a ride all the way to oblivion, or whether you'll pull up out of the nosedive at the last possible moment.

That's my true reaction to my moods, to pressure, to risk, to addiction, to unhappiness, to discomfort, to instability: I will do something extreme. I will actively seek out something that will challenge me to my very limits. I will push myself until I find the true edge of the abyss.

Sometimes you feel like you've tried your hardest, that you can't go on, that something's not possible. You've reached the limits. I'm regularly surprised by what reserves we seem to store up, as human organisms. The disparity between perception and reality is most pronounced, when it comes to strength, stamina and depression. When you come close to those limits, you realise that your fear is giving you a safety margin, a buffer, that keeps you a safe distance from the true edge.

However, my brain has been somewhat corrupted, warped, miscalibrated. I had little hesitation in attempting to climb up on a ledge on the 48th floor of a tower block, where there is a little outdoor area. It's only that my colleagues pulled me back that prevented me from standing there, on the ledge, eyeing up the drop.

As you can see, the ledge is quite wide, but there's still something that isn't quite wired up quite right in the head of somebody who would climb onto it, 48 floors above the pavement.

None of this quite compares with riding through central London, on a black bike, dressed from head to toe in black clothes. No lights, no helmet. Frankly, drivers quite often don't spot the cyclists who are wearing high-vis vests and covered in lights anyway, especially in the wet when London's many lights, and the reflection in puddles, make it virtually impossible for a driver to see what's going on around them.

I took an almighty tumble when a taxi driver who was indicating left and pulling over changed his mind in a fraction of a second, and decided to do a U-turn right in front of me. My rear brake was loose because of a buckled back wheel, and I was so quick and hard on the front brake that I went over my handlebars and busted my ribs, hip, ankle. The taxi driver didn't even see me. I jumped up and back on the bike, and carried on, and then this huge surge of pain hit me.

That could be a metaphor for my life, since losing my grip on stability in 2008. I take massive risks, but I jump up and carry on cycling after being completely obliterated. I push through the pain, knowing that stopping will only make it worse.

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

This is a story about maintaining a degree of freedom...

Which one of these faces represents your mood? What if there was a pill, powder, liquid or a gas that could take you from a face on the right, to a face on the left? Would you use it?

Apparently 90% of adult Americans drink coffee. That's a pretty amazing statistic, isn't it? Officially, there are 350 million Chinese smokers. That's more than the entire population of the USA. Every weekend, town centres across the United Kingdom are turned into warzones, with huge numbers of binge drinkers, taking themselves to the brink of alcohol poisoning, and even beyond.

That's just the stuff you can buy in shops, over the counter. You can walk down the road, 7 days a week, and purchase coffee, cigarettes and alcohol.

Now let's talk about prescription medications. In Tower Hamlets, the borough of London where I currently live, Prozac (Fluoxetine) prescriptions are rising at 8% per year. London issued 5.21 million Prozac prescriptions last year. Over 20% more Londoners are taking antidepressants than 3 years ago.

So, in all probability, somebody somewhere has got their hooks into you. Either you drink coffee, you smoke, you drink alcoholic drinks, or you take mind-altering prescription medication. You are owned by somebody. A proportion of your wealth and tax dollars are going on mind-bending substances.

The picture above is of a blade that I have managed to remove from a Gillette Fusion razor, and crudely bend into a cutting implement. It's actually pretty tiny, hence why I never noticed that it was still lying on the bathroom floor. However, it's easily big and sharp enough to slice open veins and arteries.

Wouldn't I be better off taking antidepressants, so that my mood doesn't sink so low that I attempt suicide? Wouldn't I be better off in a chemical straightjacket?

Given that I have no fear of homelessness and destitution, why do I need something that artificially props up my mood and allows me to function, when my natural mood is telling me that something is wrong?

What goes up must come down, and for every desired effect of a medication, there are one or more side effects. Often times, people will take a medication for one ailment, and then have to take another medication to compensate for the side effects, and perhaps even some more for further side effects. It's much like the old lady who swallowed the fly, who ends up swallowing a horse.

Ok, so my mood episodes are pretty brutal, but at least I have a clear clinical picture, in medical parlance. It's fairly easy for me and any clinicians to see what my mood is doing, as the water is relatively unmuddied by mind-altering substances.

So what is my mood doing? Well, it's yo-yoing up and down like an insane elevator operator. However, it pretty much follows the instability of my life. 7 or 8 months ago I was homeless, then I was living in a hostel, then I was living with an alcoholic and his unfaithful wife, then I was sofa surfing with a friend, then I was living in hotels during a time when just about every London hotel was booked out for the Rugby World Cup, and then I got a flat.

Jobwise, I had a 9 month contract, and then a 6 month contract. I'm working about 6 months in 12, with the chance to push that up to 9 in 12 if I can get my arse back in gear. It's not a very stable work environment though.

I spent about 15 weeks receiving inpatient treatment in 2014. That really was an annus horribilis. I was in hospital for about 8 days (2 admissions) in 2015. That's quite a big improvement. 2016 remains hospitalisation free, despite some fairly sketchy stuff that probably should have seen me admitted.

But you can't see the other data that I have in front of me. My alcohol consumption, my coffee consumption, my abuse of drugs & medications... all of this is going through a radical transformation too. From regular and massive binges on wine & beer, coffee to prop me up in the mornings, drugs and medication to while away the time inbetween jobs: I've knocked almost all of that on the head. Life is a lot more straightforward when you're not peering through a haze of mind-altering substances.

However, it's a little too straightforward. In terms of stress levels right now, I'd rather give up the responsibility of having a flat, bills to pay, a man to kowtow to. It might be cold and wet and s**tty weather outside right now, but I'd still rather be living in a tent and not looking at a stack of 8 box files full of paperwork I need to deal with.

Seems bizarre, right, to choose to be homeless, destitute? Well, I don't think it's any more insane than working your arse off to pay for your rail season ticket and pay for the mortgage and bills on a house you never get to spend any time in.

Personally, I just feel as though modern life is making me unwell, so I reject as much of it as I can. I do the bare minimum to keep the wheels turning, and otherwise I turn my back on the madness. I try not to be swept along by the current.

I know my mood will change, and I will feel differently about things during a different kind of mood episode. I'm not going to poke and prod at my mind though, and try and coerce it into taking on an altered perception of reality.

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

This is a story about brain damage...

When George Ricaurte and his team vivisected Rhesus monkeys and dissected their brains, after having given them enormous intravenous doses of Methamphetamine, they found that their neurons had been damaged. The very cells of their cerebellum had withered and died.

It's very hard to objectively judge whether you have driven yourself irreversibly insane, or how stupid and brain-dead you have made yourself, through the abuse of drugs & alcohol. But both are freely and relatively cheaply available in massive quantities to almost anybody who wishes to avail themselves of such substances.

I have a rough measure for the strength of my sanity. I can tell you, in terms of number of nights of sleep lost, at what point I will become psychotic, and at what point I will lose consciousness. 10 seems to be the magic number.

I had to go back to my house in Bournemouth, leaving behind my new home, my new friends, my new girlfriend, my new startup and my newly incorporated company, in order to rummage in my attic and find some crap to sell in order to raise some money, because my parents had reneged on their promise to save me the stress and hassle.

For 9 nights, I was hopped up on Supercrack, just about managing to sell my car and gather a few high value things, but otherwise totally out of it. On the evening of the 10th night, just as it was getting dark, I was convinced that the house was surrounded by police, and climbed into the attic without the ladder and tried to close the hatch behind myself.

I blacked out, and when I came round I didn't know what I was. I literally couldn't understand my blurry vision or what any of my senses or thoughts were telling me. Then I didn't know who or where I was. Was I in a rustic farm building? Was I a farmer? Then it became clear to me that I was in an attic, and I remembered who I was, but I had no idea how or why I would be there. Then it became clear that I was perilously close to the edge of an open hatch, with an 11 foot drop onto steep stairs, which descended another 10 or so feet onto a hard wooden floor.

A previously absent sense of self preservation caused me to cautiously lower the ladder and descend from the attic, whereupon I noticed that it was late afternoon. At least 18 hours had elapsed. I surely could not have slept, for I'm sure that movement in my sleep would have sent me tumbling through the hatch.

Remembering then, why I had entered the attic, I was surprised to not see any police. As a precaution, I then went and hid in my shed for another day or two, before I phoned a friend and asked if he could drive me back to London with the couple of valuable items I was going to sell.

It must be re-iterated that these items were not going to be sold for drink & drugs. Supercrack costs just 18p per day, remember? I'm not really built to sell junk from attics and sheds. I find it stressful. My Dad's 'job' since getting my Mum pregnant with me had been to buy & sell junk. My job, for almost my entire professional career, has been to write computer code in an air conditioned office.

Anyway, you can see that my window of opportunity had closed, and my life had become rather dysfunctional.

As soon as I got my share of the house sale money I put myself through 8 weeks of rehab, before remembering that there was some Supercrack hidden inside a golf brochure sent to me from Canada, in my stack of unopened post from 2 months prior. Given how much I hated my parents for tossing me to the wolves, I saw no reason not to pay them a visit and have a massive relapse in their home.

My left leg was destroyed as I tried to leave, in an unnecessary tussle with my Dad. I then tried to O.D. in some terrible flat in Kentish Town. As the amount of blood in my urine grew and grew, as my organs slowly shut down, I phoned an ex-girlfriend for help, when I felt sure that I only had about 24 hours left to live. The hospital gave me about a 30% chance of survival, and treated me for about 3 weeks, 6 intensive days of which were very touch-and-go.

Camden Council were most uncooperative in helping me, despite letters begging them to support me, from my GP and Psychiatrist. Finally, with no state support, I ended up in a hostel in Bayswater, and then living in a bush in Kensington Park Gardens.

Obviously, life was rather unstructured and dysfunctional, and again after the magic 9 nights of madness, I believed I was being pursued by police, ran across a rooftop, fell through a glass window, and then went and hid 80ft up a massive tree with a huge shard of glass sticking out of my 'good' leg.

The scar on my leg is about 5 inches long and nearly an inch wide. I lay in my bush in Kensington Park Gardens, in agony, until it healed enough for me to hobble to Paddington Station, where there is a public shower. I got cleaned up enough to get myself a hotel room.

A friend invited me to come and stay at her flat in Notting Hill, but I was so mad by this point that I tried to hide under a mop bucket in her basement. A fully grown naked man cannot be concealed by a mop bucket on his head.

She coaxed me out of the basement, whereupon I then tried to hide in a fortress of pillows and sofa cushions, and then decided to hide in her shed. I then took offence to my own penis and tried to rip it off my body. Having made quite a mess of it, and clearly sanity having escaped my grip for far too many weeks, I decided to try St. Mary's Hospital and Westminster Council.

Westminster Council beat up Camden Council for being so beastly towards one of their residents, and UCLH Androgyny were quite helpful in repairing my male member. One of the mental health Crisis Houses took me in for a couple of weeks while a search party for my marbles was despatched.

Fundamentally, I still believed that the state would keep its word in helping somebody who became addicted to a legal high, which the government then made illegal. My social worker had promised imminent admission to treatment services. There was also the promise of supported accommodation, post-treatment. This was salvation.

However, it all got botched. One social worker lost all my paperwork and had to restart the process entirely, and the next one decided to keep deferring my case, because she believed I could recover without state support.

It was me who blinked first, after 6 months of this hell. I used my credit card in order to get myself a hostel bed and no longer be sleeping rough on Hampstead Heath. In a way my social worker was right, I had been sufficiently scared, shellshocked and traumatised. It helped that when I once got arrested, the police doctor was very surprised that I didn't die in custody when she saw how low my blood pressure was. Being in a cell, dying, is not a very nice experience.

Anyway, I went cold turkey in a 14 bed hostel dorm, in full public view, on street bail with the police.

After a couple of months, I got a job and things appeared to be going swimmingly. However, the lifestyle of a completely insane, drug addicted homeless person, is somewhat incompatible with the life of a middle-class IT consultant working for a global bank. There was a certain amount of friction between old life and new.

Somewhere between losing all my friends, losing my job, the contract ending on a room that I had let and the general disintegration of my life, the whole horrible cycle started again. Recovery is fragile.

By May 2015, I believed that my mobile phone was talking to me and giving me instructions. Under its direction, I then embarked on a half-marathon, with a fully loaded backpack with all of my most valuable possessions in it.

This is your brain on Supercrack. Pre-existing mental health problems + drugs + gentle external encouragement = completely bat shit insane behaviour. Somebody doesn't just run like this just because they're on drugs, but it doesn't take much to get them going.

Don't worry though, because by June I had a job working for HSBC on the number one project: Customer Due Diligence, which is naturally where you would expect a homeless, insane, drug addict known to the police to find themselves. The global bank is clearly an expert in doing due diligence background checks on people.

Anyway, I might have made all this stuff up just to embarrass HSBC and the CIO in charge of the number one project, plus the rest of the management team, who are making a bit of a botch job of things. You'd need to do the due diligence to find out, which presumably HSBC did?

So, I leave it to you, dear reader, to judge. How do you find me? Completely bat shit insane on a permanent and irreversible basis that means I should be 'committed' immediately to an institution, where I will shuffle around for the rest of my heavily-medicated days, no longer a menace to society... or is there a question mark hanging over the whole infernal affair?

This very document, this entire blog, seeks to challenge your presumptions about addiction and mental health. Has it succeeded yet?

Tags: #nhs #mentalhealth #addiction #bipolar #depression #suicide #career #banking #london #homeless #injury