This is a story about customer service...

Amongst a small group of my friends, we have all found that a medication called pregabalin - marketed as Lyrica in the UK - has been useful to us, but also has adverse side effects and is difficult to stop taking. Pregabalin is quite good at combatting anxiety and improving sleep, which are obviously the desirable effects: most of us have stress in our lives, and struggle to get enough high-quality sleep. Personally, pregabalin is an effective treatment for the phantom limb pain I feel, due to damaged nerves - I can't feel my left foot. Pregabalin is far better than the opiate painkillers, which left me sweating and nauseous at times. However, stopping taking pregabalin leaves me feeling anxious and gives me insomnia - what goes up must come down.

Soon pregabalin - "the new Valium" - will be scheduled as a class C controlled substance, which makes it much harder to obtain a prescription, and possession without a prescription could be punished with a criminal conviction.

Here on the psych ward, a man screams for a "blue tablet". Perhaps more blatantly obvious as an addiction, another man attempts to wheedle more Subutex (buprenorphine) out of the staff - he's been droning on about having his dose restored from 8mg to 16mg, because he is being weaned off the synthetic opiate he is addicted to. I can hear this guy, who is obviously no stranger to our prison system, chopping and snorting drugs his room. The man who screams for a "blue tablet" is actually asking for a 10mg diazepam pill - blue in colour - which is Valium. Our screaming friend decides he wants to leave hospital, and the staff tell him he can't leave because he's going to take heroin. "It's my body! I do what I want!" he screams. Then, he starts getting abusive.

Early on in my hospital detention under section 2 of the Mental Health Act, I ask a nurse if she can nip to the shop to get me a 4-pack of beer. We lock eyes for what seems like an eternity. I maintain a completely straight face. Then, we both snigger and she regains her composure. She jokes that we should have a big piss-up on the ward. With a different nurse, I tell her with a straight face that they have forgotten my methadone and she immediately unlocks the cabinet containing the opiates that are so coveted by some patients here... I hastily tell her that I was joking, but she still continues to search my medication chart. Do I look like a junkie? I certainly don't have track marks on my arms or other identifying features of an injecting drugs user, such as abscess scars.

A doctor comes to take my blood. She doesn't shut my bedroom door. Three men, who I know were heroin users, peer into my room and I feel bad that I didn't ask the doctor to close the door or get up and close it myself - surely the sight of a needle going into a vein is going to be a terrible trigger. There's good evidence that addicts' brain reward pathways are activated when they see drugs and drug paraphernalia for just 33 milliseconds, which is less than the 40 milliseconds that a single frame of cinema film is shown for.

Having been detoxed from my physical dependency on benzodiazepines and alcohol, I find that I crave nothing more than a few drinks in the evening - some wine or some beer - to take the edge off the stress and anxiety of my situation and help me relax during what is a fairly dreadful clusterfuck of issues with employment, housing, accommodation and my health. However, I don't want to sabotage my treatment and recovery.

I'm incredibly grateful to the NHS, for accidentally detoxing me while they were treating my deadly deliberate overdose - my suicide attempt. Being physically dependent on a medication is to be shackled to it - to stop taking it would cause seizures and potentially death. There wasn't a 'buzz' that I was chasing with booze & benzos. I was using mind-altering substances to soothe my jangled nerves: self medication.

Am I glorifying drug taking, or making light of serious matters? Don't be so ridiculous.

An epidemic of illicit opiate use sweeps across the United States, with the number of overdose deaths and addicted babies born, skyrocketing in the past few years. An epidemic of mental health issues has pushed the services that are there to support those who become unwell, to breaking point. Only a wilfully ignorant person would turn a blind eye to what's happening all around us.

Carfentanil - a synthetic opioid - is so powerful that an aerosol of it could be sprayed in a packed metropolitan area and cause hundreds of people to die from respiratory arrest. This drug is being sold as an adulterant in bags of heroin, in the United States today. In the UK, carfentanil's less potent - but still deadly - chemical cousin, fentanyl, is quite common now in batches of street heroin. If you're worried about terrorism and weapons of mass destruction, these things have already arrived on the shores of the US and UK, in the form of incredibly deadly chemicals that are available for sale to anybody with the money.

My fellow patients are unrelenting. There's been a 2-day nonstop assault on the staff, as the patients attempt to get a tiny amount more synthetic opiate out of the doctor. There's not much else to do on the ward, and whatever medications the doctor has decided to write on their chart will remain fixed for a whole week. I guess they've got nothing to lose apart from their 30 minutes of escorted leave from the ward. One patient has done a runner, sensing that the doctor's decision has not gone the way he would prefer.

"You've not done anything wrong. You can come back and you won't be in any trouble" a stressed looking nurse is saying down the telephone, to the patient who has gone AWOL. Meanwhile, a patient takes breaks between harassing the staff for 8mg more Subutex, in order to chop and snort lines of white powder in his room - presumably he has a plentiful supply of his own drugs, which he wishes to supplement with a legal prescription.

I try to calmly await my section tribunal, despite the chaos outside my bedroom door.

It should be noted, that the quality of care does not vary with one's behaviour - the staff are supremely professional - but good manners are declared as the number one thing that every staff member wants, on a notice board that tells the patients a little more about the team of people who look after us.

Good manners cost nothing.

Tags: #hospital #mentalhealth #drugs #addiction

This is a story about peaks and troughs...

I'm in the middle of a warzone. "I WANT TO GO HOME" yell multiple angry men, who are considered unsafe to be out in the community. It's all kicking off on the psych ward, because today is ward round with the doctors. Today is the culmination of a week of waiting and hoping; hoping that today will be the day that the consultant decides to grant some liberty to the men who are detained here - the top doctor is all powerful.

Ward round is supposed to be 10 minutes per patient, but I'm a psychiatric anomaly - completely unmedicated, yet compliant, articulate and reasonable. The staff - nurses and support workers - report that I have been polite and well mannered. It's rare that a middle class person winds up on an NHS psych ward - my fellow patients are all victims of poverty, and their mental health conditions make them most unmanageable indeed.

Having moved from an 8-bed Psychiatric Intensive Care Unit (PICU) to this ward that sleeps 20+ men, the intensity of what's going on around me is much greater, even if there isn't the sound of struggling patients being dragged down the corridor to a padded and soundproofed isolation booth. At least on the PICU I could lock my bedroom door and feel a little safe. Of course, the staff opened a little peep hole every 15 minutes to check I was still breathing, but it was a much less stressful environment.

The world's most terrible shower was one of my big disappointments, as I repeatedly pressed a push-button to get a pathetic dribble of water that could barely wash away the soap from my hair. At least the water was warm, I thought. Then, a nurse knocked on the door and offered to make me a bacon & egg barm (roll) and I was pleasantly surprised. Returning to my bedroom, I was greeted with the delicious sight of the lovely breakfast snack pictured above.

A lot of people have presupposed that the food is terrible on the psych ward, but it's actually very decent. Through my turbulent journey of the last few years, I've eaten a lot of hospital food. When you're on a general NHS ward, you actually get a spectacular choice of meals, plus kosher and halal options too, which I can highly recommend.

Because my ward round time overran, I missed lunch. I asked if the staff were making any trips to the local shop - my permission to leave the ward has been cancelled due to the fact that I'm a suicide risk - and if they could get me a sandwich.

Despite the commotion, somehow a kind nurse managed to make me beans on toast with scrambled eggs. I was actually more disturbed by the disruption of the routine than I thought I would be. The amount of stuff that's happening all one one day is insane. The clamour for the doctor's attention is just as bad as you'd think it would be, given that everybody's been locked up all week and only this one guy has the power to allow anybody off the secure ward.

These two meals - breakfast roll and beans on toast - are unlikely to be in line with the NHS's ambitions to reduce salt, sugar, fat and other unhealthy things from patients' diet. Salt sachets are liberally sprinkled onto all the regular food we get, replacing the salt that would usually be added by the chef - the net salt consumption must surely be the same. There was something delicious about these beans, in their sweet tomato sauce on white bread. The carbohydrate content of this meal must have been huge, even though it was virtually fat-free except for a light coating of margarine on the toast.

The fluctuations in blood sugar and medications are very pronounced. From 10pm to 9am, no medications are dispensed, but they are dished out throughout the day. From midnight to 6am, the smokers are not allowed to cluster around the doorway that leads to the tiny outdoor area surrounded by high fences, in order to get their nicotine fix. Tea and coffee is decaffeinated, but I quit drinking hot drinks quite a few years ago. The fluctuation in the importance of days of the week, is all fixated around Tuesdays, when ward round happens. The tension in the air is palpable - patients want their freedom.

Being a non-smoker, the passing of time is marked by food and sleep for me. Masturbating in the world's shittest shower is not something I've even brought myself to do, yet, although the sexual needs of the 20+ men on this ward can't be magicked away with medication. There's clearly an undercurrent of sexual tension, which reveals itself in inappropriate ways... however, can we view the natural urges of these men - myself included - as wicked and wrong, when they are simply part of our biological make-up?

Three hot meals a day. None are particularly photogenic, but I devour every last bite. The pleasure of eating is one human thing that can't be denied to us, despite the dining not being haute cuisine. I'm grateful for the safety of this NHS psych ward, and the food I receive at taxpayers' expense.

My ensuite bathroom has no shower, but at least I don't have to share a toilet to dispose of the digested remains of what I shovel into the hole in my face. I barely chew, but mealtimes are the three happy moments in my day, which is otherwise just spent waiting... waiting.

Tags: #food #mentalhealth #hospital

This is a story about seeing red...

My dad had a fairly simple moral code for me, when I was a little boy: boys shouldn't hit girls or boys wearing glasses. That's about it. I remember guns were bad and I got in trouble (age 3.5) for looking like I enjoyed myself playing with a friend, who had brought his plastic guns with him. I eat anything and everything today, but I also remember being terrorised into eating rice pudding - which was slimy and disgusting in texture to me, before the age of 4 - so much so that I started throwing up with stress and anxiety, before every mealtime and lost so much weight I had to be hospitalised.

Perhaps it's clear, in retrospect, why I would turn to a hospital to protect me from bullies.

But, perhaps it's me who's evil, and needs to be locked away from the general public? Certainly, now that I've got chance to stop and catch my breath, I'm finding I've finally got time to examine the morality of the way I've acted in the past.

If you hit your kids or generally terrorise them to the point that they need to be hospitalised, trust me, they're not having a brilliant home life. At playgroup and school, I took this pacifism thing that my dad had been very angry about - a.k.a. playing with a friend with a plastic gun - very seriously and I got the crap kicked out of me by other kids... it wasn't until many years later that my dad suggested fighting back, which seemed somewhat odd given that I'd received these hippy lectures about being nonviolent. Anyway, I went down the path of pacifism and that's where I stayed. I was not having a brilliant school life - I was picked on every single day, to the point where, again, it would leave me collapsing in uncontrollable sobbing fits, while on the way to primary school.

Boo hoo! Get the violins out!

My first experience of domestic violence was me crying and being punched in the face, giving me two black eyes and a broken nose. I didn't even defend myself, let alone strike back... why would I need to? I didn't understand why I was being victimised like this, by somebody who was supposed to love me. I had to go into work with a bullshit story about having collided with a buoy while kitesurfing, to explain my two black eyes. It was the male extreme sports equivalent of "I walked into a door". I had to lie to her parents, when we went to see them for a planned visit soon after my face had taken that pommelling.

I'm 6ft tall (183cm), 13 stone (82kg) and I still retain some of my muscle bulk from rock climbing, kitesurfing and wakeboarding, although I'm obviously not in peak physical shape. I've got the mindset of a terrorised 3-year-old, ganged up on by two fully grown adults, but I'm in a body that can do some damage and defend itself now.

The problem - if there is one - is that if I feel bullied and attacked, and you managed to corner me, I'll smash my way out of the situation. I don't hit people - I'm still nonviolent. I don't get into fights. However, very occasionally I will trash something - more often than not it will be my own property - because the insanely horrible emotions just have to come out.

"Do you think that was the right thing to do?" a stern-faced looking policeman asks me. "Do you think there might have been a better way to handle that situation?" comes a second question, as if the first one - which I haven't had chance to answer yet - was not clear enough for me. Of course, I would have loved to handle things differently. Of course, I feel guilt and regret when I snap; when I can't take the onslaught anymore, and I've done something that I wish I hadn't - some property has been damaged.

She's asked me to travel out to the suburbs from the city centre; it's a considerable car ride away, including some travel on a dual-carriageway - the main road South, which turns into the motorway and would safely take me back to London, if we stayed on it. I get the cab to stop at a shop so I can buy some things for a romantic evening. I'm greeted with a hug, we lie on the bed kissing and cuddling... this is all how I hoped things would be; I'm relaxing and enjoying a pleasant evening; this is very nice. Then, she's hurling abuse at me, telling me I'm a terrible person... I'm sitting down while she's standing up, verbally attacking me and generally bullying the shit out of me. She suddenly asks me to leave... alright, no problem. I jump up, grab a rolling pin from the kitchen where it lies idle on the worktop and I smash her laptop to pieces, then I leave immediately. I regret it instantly and text her that I want to replace it, as I make my way to the nearest cab rank, to get a taxi to retrace the journey that I took hardly any time ago. Why had I been summoned to the suburbs for this abuse? Certainly, my loss of temper at the injustice of it all is in no way a justification for destroying her laptop - it was a disproportionate response.

I don't think people really see what's going on underneath the surface, even though I tell them.

Two police officers are interviewing me. It's 2am in the morning. I was just discharged from hospital after a suicide attempt, and my kidneys are still not fully functioning. My body is bruised as hell from where the emergency services had to kick in the bathroom door to get to me, slumped in the dark, dying. My muscles ache from the damage that was done to them by the massive overdose of opiates - prescription painkillers I had stockpiled. I answer the police questions. I admit smashing up that laptop - of course I did it and I want to replace it. The last messages I ever sent while still alive were attempts to get her bank details, so I could transfer her enough money to get a brand new replacement... although of course the destruction of her laptop must have been a shocking over-reaction in her eyes and upsetting for her, and I can never fix that.

Don't people see me as vulnerable? I feel like a 3 year old, being beaten up by grown-ups. I feel vulnerable; scared. People must see me as an easy target, because they certainly don't hold back when they're ripping into me. I find myself back in my trashed apartment at 3:30am on Wednesday morning. How did this happen? Why do people think I'm perfectly fine - OK to chuck out from hospital as soon as my kidneys are working a little bit? Why do people think I'm physically and psychologically indestructible? Why would the massive overdose that I took be seen as unimportant, and that I'm perfectly able to pick myself up and carry on with life?

I feel like I get a double-whammy. I feel that people take advantage of my good nature: my trusting and happy-go-lucky approach to life, where I try to be generous and loving. I take the risks - I make the first moves - and I put myself out there in the hope of getting something back. If I get nothing back, that's fine - let's just leave it there and move on. Why did I have to get dragged all the way out of the city centre and far from my home, simply to receive cruel and unpleasant treatment and be told to get out? My reaction was out of proportion though, so I also get the guilt. I'm guilty of smashing up that laptop. I'm guilty of seeing red, losing my temper, retaliating at the injustice of the situation, in a totally unjustifiable way. Now, I still carry that guilt and I always will - it stopped her hurling abuse at me, but that doesn't make it right. In fact, I can never make things right - I'm always going to feel terrible about her stunned silence, and the fact that it must have seemed like a crazy over-reaction to a bit of 'light-hearted' bullying and abuse in the place she'd dragged me out to, to do it - in the middle of fucking nowhere. If it sounds like I'm conflicted, I am. Where's the sympathy for the fact that I was taken advantage of, abused and left feeling totally abandoned in a strange city? Where's the consideration of the fact that it's obvious that I was on the edge: I very nearly succeeded in killing myself, as the very next thing that I did.

This whole traumatic episode has forced me to dredge up every 'bad' thing I've ever done, and reconsider whether I could have handled things better. What the fuck am I supposed to do? Turn down friends and girlfriends when they cross my path? Am I supposed to be negative and untrusting? Am I supposed to shut myself away, isolated behind closed doors and be anti-social, because I always end up just feeling like a mug... financially taken advantage of and cleaning up after my 'guests'. Should I not give people a chance? Should I be closed and negative, assuming everybody's out to get me? Certainly, everybody's come and picked my fucking pocket, quite gleefully.

I'm no angel. This is certainly not a piece that argues things in black & white. If you want to talk about black & white, then you have it in black & white: I smashed up her laptop with a rolling pin in a sudden fit of rage. My regret and remorse is meaningless - I did it, so that's that. I'm guilty of being an "angry man" right?

I wonder what percentage of my life I've been angry for. Certainly, most people who've known me for any length of time would not think "angry" as one of the first words that sprang to mind. Perhaps I just hide it very well. It's not really for me to judge anyway, what my personality is in the context of this tale and the wider issue of whether I'm some kind of crazed nutter, intent on smashing up the entire world.

I guess you could consider the nature of a dog, as an analogy. How much can you abuse the dog, before it bites you? Are the best dogs the ones that just whimper and maybe even shit themselves? Does a dog - even though it has sharp teeth and powerful jaws - only qualify as a good dog if it never turns on somebody who's abusing it? If you can answer that question, you might have gone some way to answering the question that fills me with doubt at the moment: am I a bad person; am I evil?

Frankly, I think we're all capable of saying and doing regrettable things, in the heat of the moment. The question is, how do you feel about what you did? Do you do horrible things on a regular basis? What's your predominant personality - are you a victim, victimiser or something in-between?

I don't want to fall into the trap of feeling too sorry for myself; feeling too victimised. I've said and done things I wish I hadn't. Also, why can't I stick up for myself? Why can't I avoid the people who think it's OK to pick my pocket? Why can't I tell those who would take advantage of me, to fuck off, before they bleed me dry?

I've seized upon this word "vulnerable" which neatly sums up me and my situation. I trust when I shouldn't; give when I shouldn't; take a chance when I shouldn't and generally end up fucked. Surely nobody would argue with the facts: I'm the one who ended up isolated and alone, dying of an overdose, losing all my property, losing a lucrative consultancy contract and an employment offer. I'm an example of the person that lawmakers had in mind, when they created laws that protect me from mental health discrimination and prejudice based on confidential matters.

There's a line in a song I've probably never heard, but I know the lyrics because my guardian angel told them to me. The song talks about how bullying a kid every day created a monster.

Am I a monster? I certainly seem to fight with monsters. Perhaps I would be wise to remember the words of Nietzsche, and be careful that I do not turn into a monster myself, if I continue to fight monsters.

It's not my instinct to fight. It's my instinct to be nonviolent. I only fight^* when I've got nothing left.

Tags: #bullying #relationships #suicide

* - I don't mean fight her. She's got the money to replace her laptop now, I hope, and I really hope we can move on with our lives as best as we can, although I do appreciate that it was traumatic and seemingly an over-reaction from me. I feel very bad about what I did.

This is a story about therapy...

Everybody's an expert on my mental health, it seems. I need to be exercising more, eating a balanced diet, abstaining from alcohol and mind-altering substances BUT not the ones the doctors want to give to me. But which doctors? Every doctor has a different idea of how I should be treated - which doctor should I listen to? Perhaps somebody else knows, because people have some very strong opinions on what I should be doing, considering that only a handful of individuals with whom I am still in contact, have known me for any length of time and have followed along. Only I know what I've tried before and what I haven't - what works and what doesn't.

Here, there's a student nurse whose dissertation investigated the benefits of exercise, in terms of potentiating - that is to say improving - the efficacy of medications. Not considered for a single second, was the control study which would have investigated the efficacy of exercise alone. This student nurse, who I find passionate and intelligent, was eager to suggest that I tried sodium valproate or lithium - both life-shortening medications prescribed to people who have regular episodes of mania where they believe they're Jesus reincarnated etc. Everybody thinks they've got a cure to a problem I might not even have - it was under a very dark cloud that I entered hospital, one must remember.

Externally, the perception of a psychiatric ward is that it must be a place of therapeutic activities and meetings with doctors to fine-tune my medications and cure me of my madness, making me safe to release back into the community again. Internally, my fellow patients perceive staff members as persecutors, jailers and masters of everything from food & drink, to bedtimes and bathtimes - a cross between a policeman, a teacher and a parent. Certainly, to have a blackboard on the wall is an incredibly dated nod to the classroom days of our youth. Note that the list of activities for the ward is completely blank, which I find quite accurate... not that I'm complaining.

The UK's stringent fire regulations for institutional buildings - hospitals, schools etc - mean that they look very similar. A company that manufactures and supplies the fixtures and fittings for a school will probably also supply those same items to a hospital. Everything needs to be built to last in this incredibly abrasive environment, where the footfall in the corridor would destroy even the most hard-wearing of floors, laid by a contractor who normally worked in regular houses. The finish is not just high standard, but the selection of the materials used has been honed over the years to create an interior that is easily mopped and wiped down, and very hard to damage.

As a patient, I find myself recalling my schooldays, as a dinner lady ladles goo onto plastic plates and I sip juice from containers that are identical to those that I had in my boyhood. Just like school, nothing much really happens except for crowd control. There is a little sifting and sorting, so the naughtiest boys end up in the shittest parts of the hospital, and the golden child will find themselves in the top class. However, it must be remembered that staffing a hospital is a job to quite a lot of people, and over the many years that they will work their job, any ill-founded notions of making a difference, will be thrashed out of them by the system. Nothing changes very much or very fast in massive organisations - you can't fight the system, or else you will drive yourself insane... that goes for both patients and staff.

It's very hard to not be driven mad by being hospitalised. It's a chicken and egg situation. For sure, nobody gets hospitalised without putting some effort into it. It's very hard to get a psych bed in the UK, unless somebody's gonna pay £5k/week for you to go into a private place. Of course, the patients here are here for a reason, but I have also experienced the terrifying moment where I realised that my liberty has been restricted. I just heard the jangling of a massive bunch of keys, carried by one of the staff members, as she passed my bedroom door. If I was to draw back my curtains, I would see bars on my window, to stop anybody climbing in or out. There are constant reminders that I'm here under lock & key, and to escape would require a little more social engineering (or climbing) than another secure ward that I was on in 2015, where I could have just walked out behind somebody who was leaving the ward, and then run away. To run away now, I would need to request an escort off hospital premises, and then I would simply get an Uber or perhaps I might have arranged a local cab company to have my getaway car waiting. I came into hospital with £1,150 in crisp £50 notes, so I have the financial means to grease whatever palms I need to.

Why would I want to escape though? Yes, you're right - to discharge myself prematurely would be a mistake. This isn't a very therapeutic environment, because staff spend so long spying - quite literally - on patients, which is absolutely dreadful for mental health: creating an us & them culture and exacerbating even the slightest hint of paranoia. If you value your dignity, privacy and liberty, psych hospital is not for you. There aren't any therapeutic activities. However, it is a safe place where my rent and bills are paid, I get 3 free hot meals a day, I get my own bedroom/office type thing which is quite generously proportioned and has an ensuite bathroom, and I don't need to cook, clean or otherwise worry about the responsibilities that burden nearly every other creature that was unfortunate enough to have been born.

Sounds nice, doesn't it? Perhaps you too would like a stay - mandated for up to 28 days on a section 2 - in the hotel "psych ward". Perhaps you imagine that it's a calm and restful place, where I get to sleep lots and read books. I think perhaps you're getting confused with that holiday you took to Tuscany last year. On a psych ward, you get woken up in the middle of the night by alarms going off, staff running in the corridors, yelling and screaming. On a psych ward, music blasts at top volume from patients' bedrooms, because headphones are not allowed lest we strangle ourselves with the cables. On a psych ward, one must evaluate the level that one's fellow patients are intoxicated by their cocktail of medications, and whether one has the energy to engage in their psychoses that are extremely repetitive - I've been here a week and I've learned a little of everybody's "thing"... their particular identity on the ward, which is characterised by an apparent madness, which is why we must remain here. I wonder what mine is? The staff tell me that I'm lazy - always just sitting with my laptop. Yes, that must be me right? Probably just watching mindless Netflix rubbish on it, right?

Ward rounds - when important decisions about "leave" are made - happen on Fridays and nothing else happens apart from waiting and hoping. Most patients here are hoping to get some leave. Some have not left the ward for nearly 6 months - considered too much at risk of running away, if they were allowed out of this super secure part of the hospital, accompanied by a staff member.

Gossip is rife, and everybody on the ward knows that I arrived with a wad of cash and was granted leave from the hospital almost immediately. I try to downplay these things, and now people have forgotten. When takeaways or shop orders are being placed, I feign not having any money, in the hope that I can alter my perception in the eyes of my fellow patients and the staff. I remember being called into the office, simply because some of the senior staff members wanted to have a look in my envelope, containing all those fifty pound notes. It's totally vulgar, and an accident of the illness that was stimulated into existence by the ridiculous sleep deprivation, stress and disruption to my medications and routine, over Tuesday / Wednesday / Thursday of last week, which followed my near-fatal suicide attempt... it should be expected that my behaviour would have gone a bit haywire, under the crushing pressures I faced.

Perhaps I will be "stepped down" to a less restrictive ward today. I had to pack my bags last night, because I thought I was being moved. I should have remembered that nothing happens very quickly in the National Health Service, but sometimes if you're quick, you can nip in before the system decides that actually you're getting ahead far too fast. I'm not really in a rush to go anywhere though - this ward is perfectly decent and I know the two spots where I can get 3G signal.

I'm here to recover, but I'm not here to feel completely isolated. Who do I know in the local area who can come visit me? Two months ago I'd never set foot in this city, and the company I've been working for has cut all contact and has been skulking around in a most unusual manner. I have nobody - it's a real ball-ache for any of my friends to travel, just for a 2 hour visiting slot. Even my fellow patients, who are locals, do not have visitors - the hospital environment is not exactly somewhere people would like to spend their free time.

Should I immerse myself in the daily rhythms and routines of the hospital? Should I hang around by the door to the kitchen, looking for food scraps to be tossed out? Should I hang around by the door to the yard, hoping to be let outside? I'm not a fucking dog. I find it immensely useful to maintain contact with those who are still in full possession of their marbles, while I'm in an environment where staff humour the patients - "is it Tuesday today?" one asks, and is told that yes it is, even though it isn't... is that useful, helpful, therapeutic?

I was very sick when I was brought in, without a doubt. Some incredibly stressful things still hang over me, like Damocles' sword. I have little power to influence the speed of my recovery, nor the speed with which those who have wronged me are forced to offer recompense. At least I'm in a safe place to pursue what is rightfully mine: to get money that is owed to me and recover my possessions. I'm in a safe place to make arrangements for housing and income, so that I don't fall flat on my face, as soon as I leave.

I'm glad I'm here, at the moment.

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

This is a story about ganging up on people...

I was born in late July. If I was born in late August, I would have been the littlest kid in my school year, but I was born a month earlier and I was probably the second littlest kid in the school year, for a long time. I gravitated towards kids from the year above, who adopted me as a kid in need of protection, or kids from the year below who were grateful to have an older friend. As school wore on, some kids put on early growth spurts, and I gravitated towards the tallest kids. I suppose I felt safer scampering around in the towering shadow of these giant figures. It wasn't until I left Oxford - where I had the bulk of my schooling - that I finally put on a late growth spurt and finally had the physical assets with which to defend myself.

Fundamentally, I'm a lover not a fighter. I'm a pacifist and non-violent at heart.

In my time in hospital, I've encountered two tiny little old men that I want to tell you about. I shan't breach their confidentiality, but they dovetail into my story and I think it's ethically OK to share.

The first little man was at a treatment centre for dual-diagnosis - mental health problems AND substance abuse combined. This little chap only had one tooth in his head, and his circulation was dreadfully affected by a needle fixation that meant he'd inject anything he could get his hands on. Not wishing to cast negative aspersions on a vulnerable person - my fellow patient - but I'm sure this chap was never the brightest, and a life of drug abuse had certainly done nothing to enhance his intellect. This might sound like the pot calling the kettle black, which it is, but fundamentally I'm not going around trying to pick fights with people who are taller than me, heavier than me and in much better physical condition, regarding fitness, strength etc.

I feel now is probably an appropriate moment to tell you about prison.

I've never been to prison, but I think it's like a scaled-up version of all the shittest bits of school. Basically, school seemed to me to be like a holding pen for a lot of kids who were destined for a life that was going to be in and out of prison - you could see it on their feral little faces.

In prison, there's far too much testosterone and far too few women, plus it's jam-packed with children who weren't loved enough when they were little or whatever it is that makes a violent bullying child. It's not something I've put a lot of thought into - yet - so I shan't wander further up a dead-end alleyway of speculation without a working hypothesis based on a reasonable set of facts.

What I can tell you about prison is that it takes violent men who are struggling to play by society's rules, and turns them into violent men who believe that violence is the only iron rule: you can almost pick out a man who's been in prison, by the way that he will escalate any situation into one of violent confrontation as quickly as he can, in order - presumably - to ward off a beating from bigger inmates. "COME ON THEN! LET'S FUCKING 'AV' IT!" scream men who presumably, have had their faces pommeled into pulp one too many times. Like a Chihuahua dog, yapping "don't tread on me!" these little men must've had to use some kind of psychological trick, to avoid becoming victimised.

The second little man is in a hospital in the North of England, on the psych ward with me today. This determined little fellow is in far better physical shape than the other guy I described, but he's still a very small person. My diminutive fellow patient has retained far more of his mind than the other guy, or perhaps it's that he started with a very impressive brain indeed - this guy managed to start a chain of adventure sports shops that is well known today, with at least one branch in every UK city. To this end, he waits until I'm about to turn the corner, at least 50 feet away, before he starts yelling aggressively at me. I note, that he does not yell that he himself is going to rain down any physical blows on my head, but instead shouts about how big his nephew or his cousin's friend is or something like that - I smirk to myself when I'm safely out of his sight... yes, that's the smart thing to do: to get somebody else to do your fighting for you.

So, do I think I'm a right smartarse? No. I'm just fighting for my life, even though you can't see what's going on under the surface, 99% of the time.

Tags: #bullying

This is a story about twisting my mellow...

Here I am, in bed, wearing my convict pyjamas. I just woke up. Not looking too bad for 127 year old man. Mad for it.

Actually, I was woken up before 8am by the kerfuffle outside my bedroom door. On the opposite side of the corridor is the dispensary hatch, where the medications are dished out to everybody. It's quite lively at certain times of the day on this psych ward, which has some of the very sickest people in the North of England, receiving treatment for their mental health problems.

Have you ever thought to yourself "I can't go on" or maybe even "I wish I was dead"? Have you ever thought that you're going to have a breakdown and you need to be in hospital? In actual fact, you're tougher than you think. Very few of us will have an acute mental health crisis that is severe enough to require inpatient hospital treatment.

Am I admitting that I had a "nervous breakdown"? Don't be so ridiculous. I left the city where I have spent most of my working life and relocated to this Northern city, where I have no friends or family; I took on a very stressful new job; I tried to build a new group of friends and get a girlfriend... when that all came crashing down around my ears, doesn't it seem understandable that it would have destabilised my already fragile little life? I'm just an animal - like you - and I respond to the stimuli of my environment: if I'm being stressed by external things, then of course I'm going to have a reaction. Action -> reaction. Is that so hard to understand?

Of course, it might look like madness to have taken on so much stress all at once, but I did need to shake things up. I never quite reached the point where I was safe and stable, so it was sadly necessary to do something drastic. You might liken what I did to Electro-Convulsive Therapy (ECT) which is also known as "shock treatment". In fact, I had multiple seizures on Saturday and Sunday, and maybe even Monday. To be honest, I'm struggling to remember much about the time that I was unconscious for some reason.

It's pretty terrifying that there's this big hole in my life, where I was having fits and was in a medically induced coma. The memories around those 12+ hours that I was under a general anaesthetic and having a machine breathe for me, are pretty hazy. When I came out of the coma, there was an intensive care team there to greet me, who explained what was going on and knew all the right things to say to put my mind at rest. The team - every member of the huge NHS organisation - at the hospital was amazing. From arriving in A&E resus, starting to have seizures and being taken to intensive care, being moved to a high dependency ward to look after my struggling organs - which were being destroyed by the massive overdose of tramadol I had ingested - to finally being moved to a general ward... the whole journey through a National Health Service hospital is incredible and I'm crying as I write this, because it's the most amazing example of the advancement of our civilisation, that I can possibly think of.

Of course, I feel a great deal of guilt for the huge burden that I have placed on the NHS, which is UK taxpayer funded. I wonder to myself how much I must have cost, versus how much I have paid in. We can't all take out as much as we pay in. Obviously, we can't all take out more than we pay in either, but to spell that out is a bit patronising, no? Those who work in the NHS certainly wouldn't want me to feel guilty, but I do. I also feel grateful. Grateful to be a British citizen and resident of the United Kingdom, where world-class medical care is free at the point of use. Grateful, but indebted... guilty.

Another analysis might reveal that perhaps a stitch in time might have saved nine. I first approached a doctor about my mental health in 2008, and I was fobbed off within seconds of opening my mouth. Our general practitioners have very little time to understand their patients' problems and offer a diagnosis and treatment. Most of us would be unhappy to walk away from the doctor without a prescription for some pills. It has always been my stance, that I would decline any treatment that I didn't understand; couldn't see good evidence for the efficacy of;  I needed to see proof that the long-term outcomes were positive.

I remember writing passionately online, as early as 1998, about the analogy of putting a sticking plaster over a gaping wound. I wondered aloud, whether the psychiatric medications that are dispensed for mental health problems, are merely masking the symptoms and not treating any underlying problem. To this end, I applied to university to study psychology, and was granted unconditional offers for some of the best degree courses available in the United Kingdom. I decided not to go to university. I could see that clinical psychology was desperately underfunded. It's a helluva lot cheaper to give somebody some patent-expired pills, than it is to let somebody talk to a therapist.

Now, nearly 20 years later, I've seen enough evidence; I've done a meta-study of the literature. It's quite clear that long-term outcomes for the mentally ill are not at all improved by the medications that are commonly prescribed. It's also quite clear that we are in the midst of an epidemic of mental health issues. I use that word epidemic in its most precise sense - we are literally seeing explosive growth in the number of people suffering from mental health issues, and a dreadful decline in the prognosis for those unfortunate enough to be affected.

It's my firmly held belief that mental wellbeing is a function of our environment. In a world of Donald Trump, global warming, the threat of nuclear armageddon and a Conservative government who are determined to pass legislation that will allow them to hunt poor people, on horseback, doesn't it seem quite natural that we should all feel rather threatened and afraid?

One of my early childhood memories is of chatting to a U.S. Air Force base worker called Wayne, who drunkenly boasted that America could destroy all life on Earth with bombs that exploded with enough heat to vaporise a human being. Please, when you tuck your children into bed tonight, don't share this charming tale with them. I can almost remember the very moment that an 'irrational' fear of death sprang into existence in my head. If I had been born 30 years later, I might have been diagnosed with an anxiety disorder - I became afraid of everything, from horses to fairground rides, to electric sockets. I don't really agree with the 'irrational' part of the fear though - it does seem rather rational to fear things that can kill you.

Doing extreme 'adrenalin' sports and training to be an electrician is actually very logical - one needs to face one's fears, if we are ever going to conquer our anxieties. Children who have allergies so bad that they face deadly anaphylactic shock if they come into contact with things like peanuts or dogs, have had their allergies cured by simply introducing their body to tiny trace amounts of the allergens that could kill them. If there's one amazing thing about the human body, it's the ability to adapt itself - the plasticity, if you like.

Now, I've taken the 'trick' of putting myself in hostile and extreme environments, to a ridiculous level. Most people would be psychologically disturbed by having their liberty removed and being detained on a psychiatric ward with some very unwell people. Most people would crumble to dust under the kind of pressure that I've been under. This sounds very boastful and big-headed, perhaps even grandiose and delusional. Well, yes, if the facts were not in my favour then I would agree with you.

Here I am, writing to you quite calmly and happily from a psych ward. Do you think you would be doing the same, trapped inside an insane asylum with people who are too dangerous to be allowed out into the community? There's the constant sound of shouting, screaming, slamming doors and alarms going off. Staff members - perhaps as many as two or three per patient at a minimum - run from crisis to crisis. One itinerant patient can have their entourage of mental health professionals, trailing in their wake all day and all night long, as they make their "obvs" (observations). Sometimes a patient must be cornered, captured, and dragged off to solitary confinement, where they are thrown into a soundproof padded booth. "STRAP ME DOWN LIKE THEY DO IN PRISON" screams one particularly unwell patient. Is this treatment or is this punishment?

My working hypothesis is that we used to be able to remove the 'bad apples' in order to have a functioning society for the rest of us, but that was never the truth - basically, we've been leading up to the mother of all crises, because the vast majority of people are stressed as fuck and eventually the masses were always going to stumble to their knees, under such immense pressures. Society is very sick, but it's only just coming to light, now that we can no longer sweep the most conspicuous problems under the carpet.

I'm the eccentric mad uncle, carted off to the insane asylum to keep me out of sight and out of mind. However, it doesn't work so well when I'm able to continue to be connected to the world, through the internet and social media. Perhaps one might argue that mental health problems are contagious, and are spread through words - written or spoken. There's certainly good evidence that a suicide will spark a whole bunch of copycats.

So, I'm struggling to wrap my head around the fact that I nearly died, but I'm finally in a safe place in which to recover, where I don't need to worry about paying rent, buying food or even cooking and cleaning. All of the chores of daily existence have been removed from my long list of responsibilities. I pretty much just need to make sure I remember to take my next breath, while I'm in hospital.

Jeepers creepers, it's been a long hard road to get "sectioned". What a relief!

Tags: #mentalhealth #suicide

This is a story about being hounded to death...

One week ago, I was shovelling pills into my mouth, washed down with pints of white wine. The LD50 is the lethal dose that will kill 50% of the test subjects. Lethal doses are normally calculated in milligrams per kilogram of body weight. Tramadol is quite a reliable way to kill yourself, with plenty of examples of successful suicides in the literature, for anybody who wishes to trawl the medical journals.

Most opiates will cause respiratory arrest. Tramadol seems to kill more often through serotonin syndrome, according to what I read in advance of my suicide attempt. I can tell you exactly what it feels like, to reach your wits end, decide to end your life, and follow through with the necessary steps. I can tell you exactly what it feels like, during the periods of consciousness, as you die.

Once I had downed all the capsules and their gelatin shells had started to dissolve, I started to become quite intoxicated, thanks in no small part to the wine I used to wash my legally prescribed pain medication - tramadol - down my throat. Of course, I had stockpiled the capsules, which is not what my doctor had anticipated I would do, when they wrote the prescription, but I was getting a box each visit to the pharmacist, with each box containing plenty to end my life.

I decided to send out some final Tweets, when I believed I was beyond the point of no return. I have no idea whether I inadvertantly saved my own life or not, by alerting my social media contacts to the fact that I was on my way to meet my maker.

Discussion of what pushed me over the edge is not really warranted here, suffice to say that I simply had nothing in reserve when my fragile embryonic new life in this Northern city started to crumble. I had given 100% to my new job, my new girlfriend and my new friends. I had no safety net, when the slender threads that supported me, snapped suddenly.

Firstly, it should be noted that it takes quite a long time for your stomach and large intestine to process enough capsules for you to start to experience the onset of a fatal overdose. I had imagined that 40 minutes would be plenty for the first wave of powerful tramadol to hit me, and to make me unconscious or at least delerious and incoherent. I was wrong - I was able to send out several Tweets that actually seem to make sense now - one week later - as well as being gramatically OK and without spelling mistakes.

Secondly, it should be noted that the ideal scenario of falling asleep and not waking up, did not happen at all. I did get waves of soporific effect from both the alcohol and the tramadol, but I imagine that the adrenalin of knowing I was on my way to the grave kept me mostly conscious. My eyelids would get heavy and my head would drop, but my body fought to stay alive and I kept jerking awake.

Thirdly, I have horrible snatches of memory. I can remember exactly what it was like to fill my mouth with capsules, and gulp them down with wine from a pint glass. I remember how agonisingly long it took to empty out all the packets into the box, which I used as a kind of cup, from which to tip a load of tramadol into my mouth before swallowing it. I can remember the emergency services battering their way into the bathroom, where I had slumped in the dark, waiting to die. I can remember telling them where all the empty pill packets were.

I can remember telling somebody - was it somebody at the hospital? - who my doctor was and exactly what overdose I had taken. I can remember the very worst moment, when the hospital told me that death was likely to be slow and painful, not the unconscious affair I had imagined.

I can remember when I started to have seizures. I can remember begging the hospital not to treat me with activated charcoal; not to pump my stomach; not to resuscitate me if I went into cardiac arrest. I can remember coming round after 12+ hours under sedation, breathing with a ventilator. I had a tube coming out of my nose, one down my throat and one up my dick - I had been intubated, catheterised and had several canulas installed, including an arterial one that was measuring my blood pressure. It felt like I had snot running down my face, but it was just a tube that was being used to put stuff into my stomach to neutralise the deadly chemicals.

I can remember a nurse or a doctor came and asked me a question, and I tried to reply but I couldn't. Every time I tried to speak, my lungs pushed air against the ventilator, and I would be left momentairily be gasping for air until I allowed the machine to breathe for me again.

I can remember a different nurse or doctor reassured me that I would be able to speak once the tube had been pulled out of my throat, where it was impeding my vocal chords. I was so relieved, because it was deeply distressing to lose my ability to talk and have moments where I couldn't breathe.

I can remember being asked how I felt about the fact I had survived an overdose that should have been fatal. I felt terrible about telling the hard-working intensive-care nurse or doctor that nothing had changed... in fact things were worse than ever, as I imagined that the overdose would have caused horrific organ damage. I expressed in no uncertain terms that I still wanted to die.

I can remember drifting in and out of consciousness. From Saturday night to Tuesday morning, I had no idea whether I was in A&E resus, intensive care or the high dependency unit. I can vaguely recall being told, but the memories seem all out of sequence, and dreamlike - quite unreal.

I can remember being wheeled into a general hospital ward at some point on Tuesday, and then wheeled off to my own private room. I can remember slowly regaining some mental capacity. I can remember a visit from a psychiatrist, where I again expressed my distress with my situation and fear that I would not be able to guarantee my own safety - what had improved since I had tried to end my own life? Nothing. In fact, my situation had worstened: I had no idea what kind of state my apartment would be in when I got home - my wallet, keys, phone and other personal effects had gone missing. It seemed unthinkable that I would have to face potentially being locked out of my apartment, with no money or credit cards on me, and no means of contacting anybody.

When I did finally make it back home, things were worse than I had even imagined. My laptop and digital camera had been stolen. Every single prescribed medication had been stripped from my shelves and drawers and cupboards. There was one single solitary pregabalin capsule, almost left mockingly on my bedroom floor which lay in disgraceful mess. I need pregabalin for nerve damage in my left ankle/foot... as a non-opiod painkiller. I desperately needed some of the zopiclone that I had stockpiled, in order to sleep after such a horrific ordeal. These are not dangerous medications, ironically. I had moved myself off the tramadol, because it was not desirable to use it as a long-term painkiller. I had stockpiles of zopiclone, because it was useful for these very eventualities. The home treatment team had thrown bucketloads at me, because sleep is so important for good mental health. Where was all my prescription medication?

There was no sign of my mobile phone anywhere, and without my wallet and laptop, I was completely stuffed in terms of being able to get a message to anybody. From Saturday night until around 3 or 4am on Wednesday morning, I had been completely cut off from the world... mostly unconscious, and without access to telephone, email or social media.

Wednesday daytime, the way I was treated at the office - where I went to store the few valuables that had not been stolen - was extremely odd; if not downright rude and unpleasant. It was most unsettling indeed to be treated so oddly at my place of work, especially after surviving a suicide attempt and having suffered a burgulary. I was also fighting off panic attacks and pain, because my legally prescribed medications had been stolen too.

After a quite baffling experience at the office, where I was ushered out of the door as if I was an interloper, the CEO of the company I had been doing consultancy work for, spoke to me to say that he would be very happy to see me for a beer, but that I could spend the rest of the week sorting out everything that now dauntingly lay ahead of me: repairing the damage from the break-in and replacing the stolen items. Life is profoundly difficult without your credit and debit cards, mobile phone and laptop.

I managed to get an emergency prescription for 7 days of pregabalin and zopicline, so that I could restabilise my medication regimen. I managed to get enough cash out from the bank to replace my laptop, but not my smartphone or pay for repairs to my flat. I was starting to be overwhelmed with the enormity of the task that was expected of me: for a suicide survivor to carry on with their life as if nothing had happened. My home felt violated and insecure. There was something weird going on at work. It was deeply unsettling.

Gladly, I was re-admitted to hospital at Accident & Emergency, because I was driven into crisis by the horrendous near-death experience, only to then find that my two most valuable and prized possessions - my smartphone and laptop - had been stolen, and my flat had been ransacked; my front door and bathroom door were smashed up; the place had been turned upside down.

The fact that I was discharged from hospital and ended up back at my trashed apartment at 3 or 4am on Wednesday morning is something that should never have come to pass. What the fuck are you doing discharging a suicidal person in crisis, into a situation where they've got more on their plate than they can handle? How the fuck am I going to go back to life as normal, without my smartphone, laptop or a secure home to keep myself and my possessions in? How the fuck am I going to get through life without the pain medication for my nerve damage, and sleep medication for the horrendously stressful circumstances.

Being re-admitted to hospital - first the Accident & Emergency department, and then psychiatric hospital - was inevitable, and essential for my safety and wellbeing.

I could have bounced back, but the strange experience at the office and the amount of things I had to sort out due to theft or loss, was simply too much for somebody as sick as I was then.

I managed to get a replacement debit card for my business bank account, and make some cash withdrawals using my passport, but after replacing my mobile phone and laptop I had very little money left; I was exhausted stressed and in no mood to return to my home that not only felt violated, but also not a secure place to keep myself and my valuables.

My very worst fear was realised: that of finding myself completely alone in this Northern city with nobody to turn to for support. Without a smartphone, I felt completely cut off from social media. By some strange co-incidence, my work colleagues were both out of town. This was the perfect storm. This was exactly what I never wanted to ever happen - to be isolated and alone.

I thought about throwing myself off a high building, or under a bus. In the end, I finally made it back to where I should have been allowed to stay: the safety of hospital. Surviving a suicide attempt is a big deal, and then to have shit to deal with at work and home, was horrendous.

My memory about how I arrived back in hospital is just as fucked up as you'd expect of somebody who's been through a near-death experience and survived, but only barely. I'm not sure what's real and what's dream. I feel like I died all over again. I have these strange memories of trying to replace my mobile phone, laptop and get enough cash out of the bank to replace my iPhone too. I can remember waking up on a hospital trolley and re-orienting myself with reality... there were lots of things that I could vaguely remember, but they seemed to be from a different life. Had I died and had my heart restarted? Certainly, there was a period where I was sure I was dreaming. Perhaps I was still having seizures, because of the unbelievable disturbance to the stability of my life, including the regularity with which I was able to take my medications and soothe my jangled nerves with alcohol.

I write to you now, in stone cold sobriety. My alcohol consumption has been practically zero for a whole week... cut at a rate that would easily cause problems, especially considering that all the other medications that I have been prescribed have been very irregularly given to me too. Rebound insomnia from suddenly stopping zopiclone would be expected. Suddenly stopping pregabalin will have terrible consequences, as with any of the GABA agonists. I'm surprised I haven't had MORE seizures or perhaps even been killed by the sudden withdrawal of medications that I had become physically dependent on, as well as alcohol. You can't just suddenly stop drinking and taking the pills that I had been prescribed - you have to taper down gently.

In a way, I'm in a good situation now that I'm off all the alcohol and most of the meds that I had become dependent on. My sleep is terrible, I'm in a lot of pain, and I'm overwhelmed by anxiety and a general sense of unease, but it's good to not be drinking so much and having to take pills just to stay calm through some incredibly stressful events.

My housing, employment and general situation is dreadful. I'm being royally dicked over by everybody who has sensed that I'm in a vulnerable state. It's an abosoute disgrace, how people have tried to put the boot in and deal the final death blow to me, when I was already bruised and bloodied and at death's door.

I'm in psych hospital until Monday at least, which is a blessed relief. I have a room with a door that hasn't been kicked in and has a fairly sturdy lock, with which to protect my valuables. I get three hot meals a day and there's plenty of hot water. There are loads of mental health professionals on hand if I was feeling suicidal again.

Sadly, I am having to turn to the law to defend me from mental health discrimination, illegal eviction, and hopefully recover my valuables that were lost or stolen due to negligence. At least I am in a safe place from which to defend myself. Justice will prevail.

I think it's outrageous that I was ever declared fit and well enough to be let out of hospital, especially given the ransacked shithole I had to go back home to, and the mistreatment I received at work. However, I am also sympathetic towards the police, who have a difficult job to do, as well as to the fact that I have received a substantial amount of hospital care, to save my life.

There's a fairly simple ethical guiding principle here though: don't fuck with vulnerable people. I'm pretty mad that I'm the one with the stolen iPhone, MacBook, the battered and bruised body, the missing medications and having faced some terrible stress, on top of the situation that was already so horribly desperate that it drove me to try to end my own life. Nobody is coming to me and offering me compensation of any kind, despite my phone and laptop being supposedly covered under a company insurance policy.

I have a fully functioning conscience - a moral compass - and I am trying to set matters straight that I am responsible for. Even in the midst of what might have been the final hour or two that I walked upon this Earth, I still had concern for rectifying certain things, and I still do. I'm being treated like shit, but I don't feel that entitles me to treat others like shit. I'm in a horrible situation, but I'll do what I can from where I can... although I do expect to be treated fairly and in accordance with the contractual obligations, housing obligations and obligations to not be discriminated against because of my mental health crisis. The door swings both ways, and I take my ethical conduct very seriously.

Sadly, the law and solicitors of various flavours are being involved, which means I can do little until they're back at work again on Monday. I need to proceed through the official channels, seeing as I'm being beaten with a legal stick. I'm outraged that my housing and income is under threat, simply because the opportunistic shits that I've been doing some work for have sensed an opportunity to try and scam me.

I wish everybody would just do the right thing, or offer to rectify things when they have made a mistake.

Anyway, as you can tell, I'm feeling quite sorry for myself, given the shitshow of my life. My guardian angel has arrived in the nick of time to help me stay afloat, but I'm still battered, bruised, organ damaged, hospitalised, under threat of illegal eviction, my client is in breach of contract with unpaid invoices, my employment offer has been withdrawn due to mental health discrimination, and the dreadful ordeal on Tues/Weds with being released from hospital too early, has pretty much fucked any chance of recovering my delicate poise. Everything was so fucking fragile, and it burned down in the blink of an eye.

Fundamentally, where is my girlfriend, my friends - my support network - as well as my work colleagues, income, housing and all the other pieces of the puzzle that make a liveable life? All I can see are circling vultures, greedily eyeing me up as a piece of carrion.

At least we have a decent legal system here in the UK and justice will prevail eventually. Nobody can get away with acting unethically and abusing vulnerable people. I'm safe in hospital. I can defend myself from here.

Finally... I got my replacement laptop working and I'm back online.

Without the structure of being able to capture images and compose my thoughts on the pages of this blog, I've been rather cut adrift. Without my social media contacts, I've felt totally isolated and that nobody knows what I'm going through, although my guardian angel has bridged the gap very well, so I must give a great deal of thanks to her.

Nobody knows just how close to the edge you are until it's too late. What an absolute shitshow.

Tags: #mentalhealth #suicide

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Tags: #suicide #depression

This is a story about the gutter press...

It was some time in 2009 or 2010... I forget exactly when. My life consisted of a mortgage, a house, a cat and an Apple Macbook laptop computer. Thanks to an alarmist sensationalistic tabloid newspaper, my attention was drawn to what were commonly referred to at the time as "legal highs".

In a game of cat & mouse, the government attempted to legislate against clever chemists, who could cook up concoctions that would evade the laws more quickly than they could be passed. "Meow meow" became an iconic drug of choice, for grown adults who have a right to choose what they put into their own bodies. We don't have policemen at the bottom of mountains and cliff faces, telling climbers that it's "too dangerous" for them to scale the treacherous heights.

The irony is, that I was a posterboy for a life of conformity that we are all supposed to aspire towards - I had the millstone of debt around my neck and a life of indentured servitude to look forward to. Despite my hefty income, I was destined to spend over 20 years - the prime of my life - servicing the unreasonable debts that I had been forced to incur, simply to have a secure place to live.

A decade earlier, there had been a nightclub - The Chunnel Club - which ran an event every Friday called Trinity which had two railway arches in London's Vauxhall. Under each arch, DJs played very distinctly different dance music. A drug dealer stood by the toilets and for £10 per tablet, one could purchase a 'Turbo Mitsubishi' which packed a powerful punch of 3,4-Methylenedioxymethamphetamine (MDMA)... more commonly known as ecstasy.

Had it not been for the tabloid newspaper printing articles about the legal drugs accessible for sale online, I would have been blissfully unaware of what treasures there were to be bought on internet. I quickly discovered that an analogue - a chemical cousin - of MDMA was readily available for next-day delivery via the Royal Mail.

By 2012, the long arm of the law had abolished the purchase and sale of most of the chemicals that posed little significant risk to my health and wellbeing. Thankfully, Gawker (a website) had published an article that pretty much provided a step-by-step guide on how to access the dark web, and the Silk Road drugs marketplace. I was in a position that no wealthy middle-class person would expect to find themselves: with an unlimited choice of illegal drugs available at my fingertips.

It should be noted at this point that I've never had a drug dealer. This should be re-iterated: although I purchased drugs off one reliable dealer in a club in London, I never knew his name nor have I ever scored drugs from a dealer in the conventional sense. For the uninitiated, this means having a bunch of phone numbers stored in your contact list, and ringing round to see if the narcotics that you desire can be supplied - to 'score' in the colloquial vernacular.

When one 'joins the club' of middle class guffawing overpaid twats, very often one is insulated from the seedy world of illegal narcotics the scruffy shitholes where drugs are sold from, by the most enterprising individuals who can't quite escape the life of poverty that seeks to forever keep them in their tracksuits and council estates.

God bless the internet - provider of drugs to people who would otherwise not have a fucking clue where to get them from.

It cannot be understated, the role that the media helpfully played, in drawing my attention to matters that I would otherwise have been blissfully unware of. I had no idea what "meow meow" was or that it could be bought online just like a product that one might purchase from Amazon dot com. I had no idea what Tor and the Silk Road were. I was familiar with Bitcoin, but only as a digital currency that happened to tickle my geek gland in around 2010. These terms might be gobbldegook to you and I applaud your ignorance, for it has protected you from an underworld that you never want to plumb the depths of.

From Tor and the Silk Road, arose the Black Market Road, Agora, Alphabay, Hansa and Dream Market, plus a million other wannabe imitators. Silk Road 2 - the sequel - was briefly the best place to purchase narcotics online.

Ronald Reagan - an actor - and his wife Nancy, started a completely insane moral crusade against human nature that spawned technological innovation, making it easier than ever before to access high-purity drugs at rock-bottom prices. I had no idea what "just say no" meant as a child, growing up, but by the time I reached adulthood I owed a great debt of gratitude to the Regans' legacy, of ensuring an unending supply of easily accessible powerful narcotics.

Necessity is the mother of invention, and many of the things that we take for granted today in our advanced industrialised society, were born as a result of the arms race and the space race. It seems so hilariously ironic that the attempts by the FBI, CIA, DEA and other US law-enforcement agencies, to destroy the drugs business, has resulted in a far more efficient system that can reliably deliver whatever I want, next day. God bless America, and her moral crusade to turn us all into debt-laden consuming automatons, who do not question authority and the need to relentlessly replace the shit we buy - designed to become obsolete within a year or so.

For every dark web marketplace that is shut down, another 10 will spring up in their place. The authorities' efforts should be applauded, because they are pushing the innovators to invent solutions and technologies that far outpace governments and their systems of societal control.

The founder of the Silk Road was a naïve young man who knew very little about technology - the ease with which he set up a site selling the best part of a quarter of a billion dollars of drugs per annum, is truly astounding. I mean, the guy was a fucking amateur - the trail he left is still all there for all to see, all over the internet... just Google "frosty" and "Dread Pirate Roberts".

God bless the gutter press, for keeping me informed of developments in the narcotics supply chain.

Tags: #drugs

This is a story about trying too hard...

"You've got to meet my friend..." she enthuses. "Can [my friend] stay at your place on Saturday?" she asks, well in advance of the weekend. "You two were separated at birth - you share the same spirit animal" she tells me. The pressure to get along with this new person - talked about in reverential terms - is immense.

She's planning a meal out. At the restaurant, I'm told that I'm going to be sat specifically next to this over-hyped friend, because it's assumed that we are going to get along like a house on fire. That's an arson joke, but we'll get to that later.

Friday - the night of the meal - all my new friends-to-be had signed a card to welcome me into their lives. There was a helium balloon on the table, like at a 5-year-old's birthday party. Nobody ever went to such elaborate lengths to make me feel a sense of belonging; acceptance. I was almost moved to tears, but I had a job to do that night: to meet & greet and make a good first impression.

We were eating dinner - Brazilian barbecue meats - and my 'spirit animal' was sat in the corner of our booth, not eating. It was announced - against her wishes - that she had been on a 4-day drug binge, taking what is colloquially known as "meow meow". Unsurprisingly, an exclusive diet of powerful stimulant drugs does not give you an appetite for anything of nutritional value. Sitting in a restaurant is probably the last place on earth I'd ever want to be after a binge like that. I decided to temporarily park any "getting to know you" chit-chat with her until a time that my spirit animal was in a better place, physically & mentally.

After dinner, the group began to fracture. There were some who wanted to go to a packed noisy pub selling lousy overpriced drinks, and others who preferred to come back to my nearby apartment, where we could all have a comfortable seat on my big couches, and converse without having to shout - a bona fide middle-class thirty-something cliché: the house party.

One reason for the success of the house party is that it's a far better environment for the consumption of recreational drugs. I'm not foresworn from drug use, but to me, addiction is not a social activity. My general personality and attitude - no fear & everything to excess - had led me to drug overdoses of supercrack that put me in hospital with multiple organ failure. My drug taking was not recreational - it was abusive, reckless and akin to playing Russian roulette with a 6-bullet revolver loaded with 5 bullets.

If you have successfully made yourself a comfortable wealthy middle-class life, it's your mortgage repayments and other household bills that keep you awake all night, not powerful Class-A narcotics. To lose just one night of sleep and have the mentally destabilising effects of recreational drugs, has a profoundly negative effect on the week that follows. I never noticed that my weekend partying had a negative knock-on effect on me when I was young, but now my age has now become a factor.

One of my new friends - who's the same age as me - did the sensible thing and headed home at a reasonable hour. He had his sister's wedding on the Saturday and he appointed me as the responsible adult, in charge of putting the girl who was going to drive him to the wedding, into a cab, in time for her to then drive a gazillion miles across the country. "How are you going to stay awake and concentrate on the road after partying all night?" I asked her. "Amphetamines" was her answer. I can't fault her logic - if it works for fighter pilots, then why wouldn't it work for an ordinary car driver.

Fighter pilots have "go pills" and "no-go pills" which are taken respectively at the beginning and end of a mission. I offered to make her one of my special "no-go" preparations, so that she wasn't wired as hell at the wedding and clearly off her nut on speed, but she declined.

At the first ever party I've thrown in my new apartment, it was snowing. When the "good stuff" started to run out, Billy Whizz came out for a run. The white dusting on a makeup mirror started to become a hybrid mix of different substances. Molly came for a visit too.

Predictably, like any party that Charles is invited to, the whole room was talking over the top of each other and making boastful claims. For some reason, my reaction to this was to admit that I'm a grower not a show-er. This prompted one of the guys to claim that he was both a grower AND a show-er. Having been dared to get my dick out and show him I duly obliged in front of my guests. This guy then took me in the kitchen to prove one part of his aforementioned claim: he did have a substantially proportioned soft penis.

I then asked the room for their opinion on a classic ethical philosophical dilemma thought experiment, knowing that it would provoke lively and entertaining debate. Soon, this prompted a couple to leave the party, almost without saying goodbye because they were still arguing about the 'right' answer to a question that divides legal, moral and scientific opinion. "Bullseye" I thought to myself.

With Charles still having a strong influence on the room, oneupmanship raged out of control. We ended up comparing scars. While the girls were not exactly thrilled to show off any evidence of self-harm, me and the guy with the big [soft] dick debated who had the better scar from an operation. This segued into "who's spent more weeks in hospital?" as I steered the competition towards "who's the most insane?" knowing that I would easily be the undisputed champion.

At this point I was getting a bit bored with the war of words, so I just rolled up my sleeve and slashed 3 or 4 cuts into my arm with a kitchen knife. I then became immediately aware that I was so desperate to impress my new friends that I had just mutilated my body in a sudden act of self-harm.

With the theme returning to dares again, my 'spirit animal' dared me to suck my own penis. I explained that without an erection, it would be a difficult act to fulfil, but in the spirit of the dare, I asked if she would be content to see me lick my own foreskin. She confirmed that it would satisfy the conditions of the dare. Without hesitation, I dropped my trousers and got my soft penis as close to my mouth as I could, and then pulled my foreskin until I could touch it with my tongue - it was actually easier than I thought it would be. Obviously, there are not that many people - especially growers not show-ers - who would drop their trousers and suck their own dick for the amusement of their guests. This was a far more impressive feat of courage than cutting my arm with a kitchen knife.

After that, the number of crazy anecdotes that I could tell were stories that all revolved around a similar theme: being hospitalised or locked up in police cells. The stories that drug addicts tell are not that varied or interesting.

I decided to demonstrate my culinary skills in the kitchen. With an unspecified secret ingredient - some of the snow that was falling earlier in the evening - I gave a practical demonstration of a chemistry experiment. Namely the conversion of a salt to a "free base" where water, carbon dioxide and sodium chloride are isolated as 'useless' byproducts. This chemical reaction allows a salt with a high melting point - which would combust in the presence of a naked flame - to be altered into a crystal with a low melting point, allowing it to be vaporised without burning.

With sodium bicarbonate mixed with the mystery ingredient, in a spoon, a few droplets of water were added. The carbon dioxide fizzed away in a delightful effervescent chemical reaction. A few pinches of sodium bicarb later and we reached the point where the fizzing stopped. Then, I heated the spoon and boiled away the salty water, leaving only the "free base" crystals.

What would you do with this crystalline substance, one might ask?

Well, first, you need to take an empty beer or soda can and make an indentation at the opposite end from the bit you drink out of. Then, perforating the thin aluminium of the can with a pin, you can create an area where air may enter the can, when you to suck on the end you'd normally drink out of. Another option - if you can find such an object - is to take a hollow glass tube and put wire wool (Brillo pads work well for this) into one end.

Having allegedly made this concoction and strange contraption - which was all part of me showing off what a badass I am - I had allegedly demonstrated how to make crack cocaine and a pipe to smoke it. There couldn't have been a more "fuck you - I'm fucking hardcore" demonstration of how 'streetwise' I am, unless I'd whipped out some rubber tubing, a thin aluminium spoon, clean pins (hypodermic syringes), a small ball of cotton wool and proceeded to 'cook' a batch of heroin and prepare it for injection. I've never injected heroin by the way, although I did have fentanyl - which is 1,000 times more powerful - injected into me in hospital. Most people are afraid of needles and associate needle use with people whose drug addiction has led them to a completely dysfunctional life that consists of a miserable merry-go-round of theft/robbery/prostitution, 'fencing' stolen property, scoring herion and then getting high until there's no drugs left and there's only 4 hours until you get "junk sick" and have to repeat the whole exercise again.

Before I put the last of my party guests into a taxi - my friend who was driving to the wedding - at about 6:30am, three of us insufflated a few final lines of white powder, allegedly.

My spirit animal had a nice time until the drugs started to wear off, and then cognitive impairment, a drug-induced panic attack and akathisia (inability to stop twitching/tic'ing and/or jiggling of legs) left her in a rather sorry state where it was pretty clear that she was suffering from an unpleasant ordeal. I tried laughing at her. I tried telling her to stop being such a wuss, given the relatively 'mild' binge that she'd been on - just 4 or 5 sleepless nights, and relatively low doses of very impure drugs. In the end, I took pity on her and made her a little shot glass with things to cure her anxiety, replace lost dopamine and serotonin, and basically put her to sleep - there's no 'magic bullet' for insomnia and sleep deprivation, but sleeping pills damn well help. I threw all manner of things into my special 'comedown cure' that would ease her suffering. She was talking gibberish; she couldn't understand what I was saying, and I had to spend 20 minutes trying to maintain her concentration and eye contact for long enough that she could swallow what I'd prepared for her. Then, finally she fell asleep with a look of calm on her face. I don't mind babysitting the occasional person who's going through the consequences of 'self-inflicted' shit, but it would have been inhumane to let her suffer unnecessarily.

Saturday night, I made her another concoction that would prevent "the Sunday from Hell" where the consequences of an outrageous drug binge were brought into sharp focus by the need to start work again on Monday. "I want to order a pizza" she announced at about 11:30pm, having swallowed the curative remedy only 10 minutes earlier. "You have 10 minutes to get into bed, otherwise you're going to pass out on the floor" I warned her. My earlier good work had moved her out of binge mode and into a state where her appetite had returned, but 8 more hours of quality sleep was vital for both of us. The die was cast.

10 minutes later, I pulled her mobile phone out of her hand - the pizza company's number half-dialled - picked her up from the floor where she had collapsed in a most unladylike position, and carried her to bed. I was so tired that I could barely see straight to send a couple of texts before I passed out too.

After 9 hours sleep, we both awoke feeling pretty damn refreshed, considering the way we'd abused our bodies. I'd improved her average daily sleep time for the week, from 2.5 hours to 5.3 - more than 100% better. Ideally, we would all have perfect sleep hygiene and get 8 hours a night. I needed to end her drug binge, save her from many hours of unnecessary suffering and let her catch up on desperately needed sleep. I was giving her a fighting chance of not losing her job, thus spiralling even further downwards. This is about the best you can ever hope to do for an addict until they're ready to acknowledge that their addiction is rampaging out of control. Addiction always leads to complete & indiscriminate destruction of your entire life, health and will prematurely kill you.

I incurred the wrath of my 'spirit animal's' best friend for not condemning her addictive behaviour. Do I have the moral authority to lecture anyone on their lifestyle? I know better than anybody else I've ever met, how you can go from riches to rags. Supercrack was the paving stones of the road to Hell - hospitals, police cells, hostels and sleeping rough. I overcame my addiction to one of the most powerful drugs on the planet, as well as dealing with the total destruction of my life - divorcing my wife, selling my house, losing my job. So it would seem that if anybody's got an opinion that's worth respecting, it'd be mine. However, humans' relationship with drugs & alcohol is way more complex than "this is bad for me so I'm going to stop"... otherwise nobody would take drugs, get drunk, smoke cigarettes, drink coffee or energy drinks.

We live in a world where we try to find somebody with anatomically opposite genitals to us, squirt some love snot into them, and then spend the next 18+ years looking after our blood and mucous covered alien-like midget progeny, that was painfully ejected from the girl's sex hole. Human behaviour does not follow purely rational rules.

Human use of intoxicating beverages and preparations of plants that contain bitter alkaloids - with the intention of seeking psychoactive effects - is behaviour that's almost as old as cave painting, making fire and sharpening pieces of flint to make spears.

My kidneys are over 50% recovered from my last hospital visit. The facial tic that was caused - quite literally - by brain damage, has now repaired itself. The people and places that are no longer in my life because of supercrack addiction, have been replaced by a new city, new home, new job and new friends. Yes, it could've been worse, but believe me... nobody needs or wants to be told the bleedin' obvious. If it was just a case of saying "fire is hot and will burn you" and "knives are sharp and will cut you" then we'd see a 100% reduction in those injuries, by the bullshit logic that we need to nag and shame addicts into fixing their dirty little habits.

Often an addict is conveniently labelled as a black sheep, and becomes entertainment for the group that surrounds them. Lots of concerned hand-wringing and "we need to do something" empty talk goes on, but all that really happens is that the addict becomes a pariah, with nobody nonjudgemental left to turn to - it's the loneliest thing... lonelier even than being a homeless person injecting heroin under a bridge. Trust me: to spend time in the company of addicts and alcoholics who make no secret of their loss of control and the destruction of their lives, is to gain a nonjudgemental social support network that can make the difference between life & death. Fuck any condescending prick who thinks they're a moral authority who can sit in judgement and save you from yourself. Even with my stories of drug-induced insanity, hospitals, police cells and psych wards being by the far the most extreme you've ever heard, I can't tell an addict or alcoholic what to do with their life.

To hear the same hectoring, lecturing bollocks from people who [do or don't] know what it's like to realise you've overdosed and you've got 30 seconds to dial 999, or just let yourself die... it's not working, is it? I don't know if you've seen the stats, but only Portugal is winning "the war on drugs" and the way they're doing that is to destigmatise and decriminalise drugs, despite immense pressure from the United States to stop saving lives and improving the wellbeing of the Portuguese people.

So, that was the weekend that was full of drug-fuelled insanity that would supposedly trigger me to relapse back onto supercrack. Bullshit.

Tags: #addiction #friends #drugs