This is a story about treatment and therapy...

I write about my own personal experiences of depression, anxiety, suicidal thoughts, suicidal plans and suicide attempts, because that's what I would want to read if I was in crisis. There's a mountain of material on the web about the symptoms of mental illness, dealing with a crisis, coping with suicidal thoughts, counselling, crisis support, mental health teams, crisis teams, doctors, healers, witch doctors, shamen... and all the rest of it.

It's all been done to death.

So, here's what I'm doing: I write.

I've tried absolutely tons of medications, and all of them have undesirable side-effects, and ultimately didn't bring me a good long-term outcome. I refuse to accept that I simply haven't found the right medication, at the right dose, in the right combinations: personally, I've exhausted that avenue, and found it to be a fruitless exercise. That's not to say that medication won't work for you, and you shouldn't try it, but it didn't work for me.

I tried counselling and behavioural therapies. Nope. Probably OK if you're just 'a bit sad' but if you're reading this then you're probably well beyond being 'a bit sad'. That's not to say you shouldn't try therapy. Everyone's different. However, for me personally, I don't think 45 minutes a week is going to fix all my problems, sorry.

It's important to acknowledge, though, that following the treatment routes which have been resoundingly proven to be ineffective, can be a useful distraction which will eat up a few years of your life. Although I can say with certainty that the long-term outcomes are not attractive, in the short term, there's a lot to be gained from the process of learning about all the different medications and trying them out: it'll keep you busy!

Also, we shouldn't underestimate the power of having a kind non-judgemental person, listening to your traumatic story. Being heard is super important; super healing. Having somebody tell you that you did the best with the hand you were dealt, can be incredibly important, to forgive yourself and start to feel better about being unwell; not so guilty or broken.

I write because it's unlimited free therapy. Instead of only having 45 minutes a week with a therapist, my therapist - the blank page upon which I write - is available 24 x 7 x365, and I can spend as long as I want in a therapy session for free. The free part is not to be underestimated: therapy is really expensive (although it might be money well spent if it works for you). Also, the blank page is the world's best listener: it never interrupts, misunderstands, disagrees, challenges, contradicts, argues or otherwise talks back, which is *perfect* as a therapist.

Given that therapy is pretty much just guided introspection, there's no reason why you can't learn the techniques to explore your own thoughts and feelings, without a guide. Now I'm in the habit of sitting down in front of my blank page every day, I find it really easy to explore whatever's bothering me, or to dig into baggage from the past... whatever I want - it's my time and I'm paying for it!

From personal experience, not professional qualification, I really urge you to write on a regular basis, therapeutically. It's helped more than anything else I've tried, by far.

Of course, we would all love to find an authority figure - a doctor or similar high professional status person - who we can put our faith in to 'cure' us and take care of all our problems, but the reality is that depression and anxiety are modern epidemics, and medicine has failed to provide effective treatment; the problems are getting worse, not better. Ultimately, we are - unfortunately - personally responsible for our safety and wellbeing. Much though I wish there was a magic person in a magic building with magic beans, like a doctor in a hospital with some pills, it's turned out to be a massive disappointment... we're on our own.

Of course you should phone the crisis hotline if you're on the brink of committing suicide. Of course you should go to your doctor and take their advice. Of course you should seek professional help. However, if - like me - you've tried all that and found it to be a dismal disappointment, then I imagine that's why you're here, right now, reading this.

Try writing. It helps.

Tags: #suicide #depression #mentalhealth

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

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

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

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

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

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

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

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

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

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

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

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

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

Poisonings and Overdoses

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

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

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

Blood Loss and Other Trauma

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

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

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

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

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

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

Falls From Height

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

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

Hanging

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

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

Electrocution

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

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

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

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

Asphyxiation, Drowning, Suffocation etc

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

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

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

Other

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

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

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

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

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

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

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

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

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

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

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

Tags: #suicide #depression #medication

This is a story about harm reduction...

I've been sober for 33 consecutive days now. It's not a particularly important number that demonstrates anything of much interest, but I thought I should remind readers of how I'm getting along without alcohol. The plan, which I will easily achieve, is to be teetotal until at least the end of October, under the guise of the "Go Sober for October" sponsored charity event, if anybody asks.

The truth about my sobriety is much more straightforward: alcohol was a source of a great many calories, which were causing me to gain weight, and my liver needed a break from the constant onslaught. My decision to take a break from drinking was motivated by vanity and sensible health considerations, not more interesting and lurid reasons such as a so-called "battle with the demon drink" which I find patently absurd, as a person who's been lucky enough not to be cursed with the misfortune of not being able to control their drinking.

We should, of course, spare a moment for all the alcoholics in the world who are somewhat powerless in the face of their addiction to ethanol. We should be sympathetic and understanding towards those who genuinely have very limited control over their so-called 'free will' to choose between drinking and not drinking. Alcoholics, by definition, have had their decision-making powers almost 100% impaired by the addictive qualities of alcohol, and as such, they would not be able to choose to take a lengthy break from drinking at will.

For those wishing to quit or reduce their drinking, I was in the process of writing my own version of the Alcoholics Anonymous (AA) Twelve Steps. I find abstinence-based so-called 'treatment' of addiction to be a barbaric ritual with very strong evidence to show that not only is it ineffectual, but it's actively unhelpful, unkind and needlessly unpleasant. AA is a cult, with its rituals and other cult qualities, such as the vicious ostricisation of any member who strays too far from the pack, or dares to question its efficacy. While I applaud and and am glad for those who credit AA with their sobriety, I would also remind you that many people credit their good fortune to some form of sky monster (i.e. god or whatever) - human beings are superstitious idiots, and I urge everyone to seek evidence-based treatments, not cult mumbo-jumbo.

So, what is my solution for those who drink too much?

Simple answer: compensation.

We wouldn't say to a person who complains that their diet is too bland, consisting only of gruel and dry bread, that they should instead go without food altogether, would we? The abstinence approach is not only cruel and unkind, it also creates unnecessary and intolerable suffering, which is why so few people are able to use abstinence-based approaches to achieving their goals.

Whether it's dieting to lose weight, quitting gambling, quitting drugs, quitting alcohol, or indeed altering any of our behaviours which are causing us problems, the most important thing to consider is how we are going to compensate for the thing we are giving up or reducing. Without compensation, change is impossible; only suffering will ensue.

When I quit drinking for 121 consecutive days in 2015, I compensated with dietary supplements and other health-conscious changes, which included cutting out gluten and dairy from my diet. In retrospect, that was a really dumb decision. While there was a high placebo value in the changes that I made, there was no other value. I might as well have banged a gong and worshipped a made-up monkey god, asking him to cleanse me of the demon drink - it would have had the same effect. I am neither gluten nor dairy intolerant, so all I did was waste a bunch of money on expensive food products.

This time, I have compensated by using sleeping pills and tranquillisers which mimic the positive effects of alcohol, without the negative ones. I don't get hangovers. I don't have weight gain. I don't have liver damage. However, my anxiety is reduced, my insomnia is cured and my sleep quality is improved. What's not to like?

Of course, I have swapped a nightly glass or two of wine for a tablet or two, which some might see as 'failure' but those people are idiots. I've lost weight, my kidney has had the opportunity to repair itself, plus I have avoided endless amounts of hangxiety and hangovers. Also, the tablets are a damnsight cheaper than alcohol, costing me no more than a couple of pounds every day, which is a fraction of the cost of the alcohol required to achieve the same reduction in anxiety and ability to fall asleep.

We shouldn't underestimate the danger of addictive medications, and I've certainly put off today's problems until tomorrow by using tablets to allow me to achieve a period of sobriety, but I really don't give a shit - I've lost weight and my life has been manageable; my health has improved. I see no downsides. It will be a bit of a bumpy ride when I quit the tablets again, but I have only taken them sporadically during recent weeks, so quitting will be easy enough - I will gently taper the dosage and then I will be free from all mind-altering substances, once again.

I'm one of the most substance-free people you're ever likely to meet. I don't drink (at the moment), don't smoke and I don't drink caffeinated beverages. I'm highly unusual in this regard: you and almost everybody you know, indulges in some kind of mind-altering substance use, even if it's just tea or coffee.

If my life had permitted it, of course I would have been climbing mountains or surfing, or doing some other wholesome outdoor activity, but I've had to work really really hard the past few months, and it's entirely unrealistic to imagine that I would be out in the wilderness charging around like a healthy happy person, when I'm actually incredibly stressed, depressed and anxious, under enormous pressure to deliver a very large complicated project, for a tight deadline. It's a fucking miracle that I'm as healthy as I am, given the pressure I'm under, and the demands placed upon me.

So, shove your yoga, jogging and kale smoothies up your arse. Do whatever it takes to compensate, if you need to stop a particularly unhealthy habit - find something that's less harmful. Harm reduction is better than trying and failing to achieve the impossible. Abstinence is torture and should never be inflicted upon anybody, ever, under any circumstances whatsoever.

Steps Five through Twelve might be a bit rushed, given that there are only 9 days between now and October 31, but I will finish this series, because I think it's important that people who are suffering are given realistic and evidence-based humane alternatives, which will allow them to achieve a better life... not be expected to suffer torture and be doomed to failure, because some twat of a moralising idiot tells them that the only way to get better is through abstinence. Fuck those guys. Do what works.

Tags: #alcohol

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

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

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

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

What a load of BS.

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

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

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

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

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

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

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

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

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

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

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

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

We aren't supposed to live like this.

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

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

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

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

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

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

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

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

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

Please stop blaming depressed people for their own depression.

Tags: #depression #capitalism

This is a story about lost causes...

Look at that well-presented man: a professional on his way to work for Barclays at their head office in Canary Wharf as an IT consultant earning £600 a day. Look the attractive Georgian façades of the London townhouses of Camden, where he lives. The major high-street bank he works for has conducted extensive background checks on him and found him to be a fine upstanding member of the community: a model citizen.

Look again.

What you are actually looking at is a homeless man. That's right. This man is no-fixed-abode. This man lives in a hostel with other homeless people. This man was sleeping rough until very recently.

Look at this hostel dorm. It's got brand new beds and clean linen. It's empty. This looks like a pretty nice hostel dorm, doesn't it? Perhaps you wouldn't mind sleeping here. This would be tolerable for a while, perhaps if you were backpacking, wouldn't it?

Look again.

What you are actually looking at is a hostel dorm I stayed in when I was travelling - for leisure purposes - and the people who stay at this hostel are wealthy backpackers. This is not the hostel I stayed in when I was homeless. When I was homeless I stayed in hostel dorms that were full of drug addicts, alcoholics, people with severe mental health problems, thieves, violence, sexual assault, and they were exceptionally dirty and disgusting. The hostels I stayed in when I was homeless were full of everybody's crappy possessions which we carried around with us - we didn't live out of small backpacks, because we were homeless. When you're homeless you carry everything you possibly can: all your possessions. Try to imagine 14 people in a single room along with every single thing that they own. Try to imagine that's where you live - you're not just having a jolly old time doing some backpacking. That's WHERE YOU LIVE and you have to go to work, in the midst of all that chaotic s**t.

That's a nice view isn't it? That's Hampstead Heath. It's a nice place to walk your dog or go for a run. It's a nice place for a picnic. Hampstead Heath is a lovely place to go when the sun's shining. Perhaps you'd like to take a swim in one of the bathing ponds?

Look again.

What you are actually looking at is near the spot where I slept rough, to avoid being robbed, beaten up and/or raped. What you are actually looking at is a place where a homeless person can hide themselves in the undergrowth at night and avoid the perils of sleeping rough. What you are looking at is where I slept for a couple of months. Guess what? It's not always sunny. Sometimes it rains. When it rains you get wet. Very wet. A tent is conspicuous. It's hard to sleep rough, stay dry and avoid becoming a victim of crime when you're so vulnerable. Try to imagine not having a proper bed or any kind of security for you and your stuff - you're totally out in the open, in a remote area.

What's this? Is it a prison cell? I haven't been in a prison cell, but this definitely looks a bit like a prison cell to me. There's a window so that people can look into the room, which clearly has a bed, so this must be a place where I slept. What kind of place has windows in the doors so that people can see in when you're sleeping? That doesn't sound great for privacy, does it?

Look again.

What you are looking at is a room in a secure psychiatric ward. The window is there so that the staff can check you're not attempting to kill yourself. The staff check on you every 15 minutes. At night they sometimes come into your room and shine a torch in your face. You can't have a belt, shoelaces, scissors, razor, cables (e.g. mobile phone) or anything else that you could cut yourself with, or strangle yourself with. You can't lock the door to the shower room or the toilet.

Oh look! There's a view of Hampstead from a tall building. Perhaps we could see the heath from here. This is quite a nice view, except it's kind of in the wrong direction to see any London landmarks. Perhaps this this is the view from an ugly brutalist concrete monstrosity which has now perversely become a desirable place to live as the capital city's property prices have soared.

Look again.

This is the view from the Royal Free Hospital. The emergency services brought me here. I was nearly dead. I was here a long time, while the medical team fought to save my life.

That's a pretty nice room for an NHS hospital. It's a private room. I must have some pretty good private medical insurance. Perhaps I've come to hospital for an elective cosmetic procedure. This certainly doesn't look like the kind of place where a sick patient would be looked after - it's more like the kind of recovery room that somebody with private healthcare would receive.

Look again.

This is the room at The Royal London which was dedicated to my treatment because my kidneys had failed due to a horrific DVT and I was receiving emergency dialysis for many many hours a day. To my left, out of shot, is a dedicated dialysis machine which I was connected to for day after day. I couldn't have dialysis in the main dialysis ward because my blood was so full of potassium that I was at risk of having a cardiac arrest at any moment. My blood was so toxic that many of the measurements were beyond the capability of the equipment to actually measure how toxic my blood was. I was very sick indeed.

Aha! This must be another trick. That pleasant view of a valley filled with low-lying fog, and mountain tops poking out, in pleasant rural surroundings must hide a darker secret. Why don't I just tell you the terrible truth?

Look again.

This is actually a good moment in my life. One of my friends had invited me to stay with his family in Ireland. I was half-dead so the opportunity for some rest and recuperation in rural Ireland was exactly what I needed. I meant to stay only for a short while, but ended up staying longer because I was very poorly and needed looking after, which is exactly what the kind family who took me in did: they nursed me back to health.

Ooooh skyscrapers! We know from the first photograph that I worked in one of those skyscrapers. I also used to live in Canary Wharf and it's actually possible to see my apartment from this picture. I was also working for Lloyds Banking Group at this time, so this must be another good picture, right? Why would I be able to see my apartment and the head office of the bank I was working for though? Where the hell am I?

Look again.

I didn't show you the view out of the window from the private hospital room, did I? This is the view. I didn't really get to see the view much, because I was constantly hooked up to a dialysis machine which was sucking my blood out of me and squirting it back into me, but I did manage to take this photograph. All I can say that's positive about this period of my life is that I didn't die: I was saved [again] by a brilliant NHS medical team.

What now? A hotel room? Not too different from the psych ward room, but with a TV and better lighting. I was living here while working as an IT consultant for HSBC on their number one project, earning £600 a day. Sounds like my life was going pretty well, huh?

Look again.

What have I shown you so far? Homeless people's hostels, sleeping rough, hospitals. I showed you one picture when things were a little better - I was being looked after by my friend and his family - and my life was not in imminent danger. My life is not in peril at this moment, it's true, but I'm clearly staying in a hotel room for a reason. The reason is that I'm homeless. That's the theme of this story: homelessness.

This must be the door to the room that I showed you in the secure psychiatric ward. Somebody's written my name on a little whiteboard strip. That was thoughtful of them. Also, making sure that I'm not killing myself, by checking on me every 15 minutes is pretty damn caring. I'm pretty lucky to have this room all to myself and caring staff members to make sure I stay alive.

Look again.

This is not the same room. This is not the same psychiatric ward. This is not the same hospital. This is not the same city. In the first photograph, I had voluntarily gone to hospital because I couldn't keep myself safe. At the time this photograph was taken I have been sectioned and am being held against my will. At the time the first photograph was taken - in London - I could leave whenever I wanted. At the time this photograph was taken - in Manchester - I cannot leave, which is kind of like being in prison: involuntary internment. I was being held in a psychiatric intensive care unit (PICU) which is where the very most unwell psychiatric patients are held, and this type of unit is highly secure and can only care for 8 patients with a vast number of staff.

Why would I end with this photo?

I was asked to write down in detail where I had been living for the last 5 years of my life, for the purposes of government security vetting, which is a highly invasive process which will rake over every detail of my private life: my divorce, my psychiatric problems, my homelessness, the involvement of the emergency services. The government has access to every single piece of data about me held on every single database, and they are permitted to look at things - like private and confidential medical records - which nobody else is allowed to look at or even ask about, by law.

Why would I publish this?

Do you remember the photograph of the hotel room? That's where I started writing this blog, approximately 4 years ago. I've written 1.2 million words. I've thoroughly documented my life with the kind of candid honesty that the government expect from me when they ask questions like "where have you been living during the last 5 years?". The answer is far more complicated than could be filled in on their forms, so they can read about every detail which doesn't neatly fit into any of their computer systems. I could have asked for extra paper to complete my security vetting forms, but how many pages should I ask for if there are 1.2 million words written down right here and the story is not even fully told?

I chose that final photo because I shouldn't have been alive to take it.

On Saturday 9th September 2017 I attempted to end my life. My suicide attempt should have been successful. Even though I didn't die as quickly as I should have done, and even though the emergency services were able to intervene rapidly, when I believed that nobody knew where I lived or would be able to locate me, I was still having seizures and multiple organ failure. I was unable to breathe on my own. I was very much going to succeed in killing myself, which is exactly what I wanted. I had planned and executed my suicide attempt with precision.

Now, today, I am making an exceptional contribution to one of the government's highest profile projects - the number one project for the particular government organisation who I work for. I have been singled out for special commendation on multiple occasions by very senior government employees. I have worked incredibly hard to make the biggest possible contribution as part of a gigantic team of colleagues. I have busted my balls to go above-and-beyond and exceed all expectations. I have put an enormous amount of effort into delivering valuable skill, expertise, knowledge, effort and energy. I would expect that a significant number of my colleagues would speak very highly of me. In fact, I know that I am held in very high regard.

Also, during the last 5 years, I've slept rough, slept in homeless hostels, slept in hospitals and slept in psych wards. The sum total of the amount of months that I've spent in such places is very significant, but somehow it was hard to articulate this on a security vetting form that's not designed for somebody like me.

Either you believe I'm exceptional or you don't. If you think I'm an exceptional person, you have to decide whether that's a good thing or a bad thing. What cannot be disputed is my contribution to the teams, organisations and wider society, despite the great adversity I've faced.

Here is some of the information that couldn't be captured on a government security vetting form. Judge me however you want - end my career if you must. What you must understand is that I am not afraid, because I have already died a thousand deaths, so I do not fear one more.

Tags: #homeless

This is a story about success and failure...

There was a time, almost exactly a year ago, when I covered my windows with thick paper - so my bedroom was in complete darkness - and I ate baked beans out of a can with a business card as a makeshift spoon. There was nothing particularly wrong with my life at the time. I was earning a fabulous amount of money, my home had amazing panoramic sea views, I had a lovely girlfriend. What could possibly have brought about this rather dire turn of events?

It's important to me to feel like I'm succeeding. It's important to feel like I'm making progress. It's important for me to be able to picture a future that goes beyond the next week or the next month. I need to be able to see a clear pathway to a life that I will find happy and sustainable; fulfilling.

Of course, my path has never been blocked by any insurmountable obstacle. I never doubted for a single moment that my kidneys would start working again when they failed. I never doubt that I'll be able to find well paid work. I never doubt that at some point, eventually, I'll be able to quit the rat race.

The question is: how long will it take to achieve my modest and reasonable desire to feel secure in a happy, sustainable and fulfilling life? How many times will I have to move house, move city? How many times will I have to get a new job? How long until I own my own house again? How long until I have adequate cash reserves to pursue my dreams?

For many people, they already have their answer: they will never escape poverty. For the vast majority of people on the planet, they will be poor for their entire lives, and they will live a miserable, stressful, hand-to-mouth existence.

I'm not most people.

I'm not special or different.

I'm not entitled to any preferential treatment.

I don't deserve to be able to pursue rich-man's hobbies, such as writing, art and indulging academic fetishes.

However, I can tell you how long it will take to be able to free myself from the coercive tyranny of capitalism, and the answer is not "never". I'm fortunate, very fortunate that I do have a route to freedom; a route which most people do not have - they'll never escape the clutches of poverty.

Perhaps my decisions to black out my windows and eat cold beans from a can with an improvised spoon were part of a petulant tantrum; a result of impulsive impatience, in the face of a long and unpleasant waiting game. This is probably the closest approximation to the truth.

If I thought that my quality of life was going to remain below an acceptable minimum for any great length of time, and that the number of years of unpleasantness I was facing were too many for me to bear, I would make decisions... I would make decisions with drastic consequences.

It might seem illogical to you that I would make decisions with terrible consequences, when there are literally billions of people who would kill to trade places with me. However, it also seems illogical to me to make a decision with terrible consequences, such as continuing to tolerate an intolerable life, or worse still, inflicting that intolerable life onto some children knowingly brought into the world in awful circumstances. Surely we have to acknowledge that suicide is an option. Surely we have to acknowledge that contraception and abortions are preferable to miserable deprived hungry children, raised in filth and squalor.

Who am I to decide what the minimum viable quality of life is for somebody else, or the children they spawn? You're right: I can't make that decision for anybody except myself.

As things stand, the quality of my life is pretty exceptional, but there is still an unacceptable level of precarity. There is a greater risk of me falling below the minimum threshold for continued existence, than there is for my peers. I'm lacking vital things, such as a local support network, a supportive family and the willingness to re-endure suffering which I've already experienced beyond the amount I'm prepared to accept.

Of course, it would take a perfect storm, losing my girlfriend, my job, my money, my house and my health, for me to decide that I've had enough. However, I know how easily my flimsy, fragile life can collapse with alarming speed. This is not due to anything specifically weak about myself and my situation, but entirely due to my first-hand experience of calamitous life events.

It's probably true that if something bad happened in my life, I am now in a much more robust position and able to quickly remedy the situation before things collapsed. It's probably true that I'm better prepared than almost anybody to deal with adversity - I have the experience and I've dealt with dreadful things plenty of times. The question is, how much would it take for me to decide I couldn't be bothered to fight anymore?

As it stands, I work very hard to mitigate risks. I think the unthinkable. I anticipate theoretical problems and solve them before they even present themselves in reality. I know where my most vulnerable areas are, I've imagined my reaction, and I've imagined exactly what positive steps I would take in the event of disaster.

I'm quite insecure and anxious, but it's understandable. I don't have the luxury of anybody underwriting my risk. Ultimately, I know that I can fall very, very far. That's my life: a high-wire tightrope walk without a safety net.

Imagine the young trainee doctor I wrote about last year, who killed himself when he thought he was going to be declared unfit to practice medicine. He could have gotten a job at McDonalds. He could have been a beggar. Surely it can't be that bad to be alive, fit and healthy, can it? Surely he should have been happy that he wasn't a starving African child with mutilated genitals? That's not the way it works, I'm afraid. There are people who have terrible lives, but that doesn't mean that other people can't have terrible lives too, even if they are not absolutely terrible. Terribleness is relative to our lived experiences. Terribleness is a function of our very real and tangible hopes and dreams being dashed to pieces on the rocks.

My lived experiences encompass sleeping rough in Kensington Palace Gardens as well as dining nearby on a private terrace overlooking a lush green roof garden with flamingos, and London's skyline providing the backdrop for me proposing marriage with an exorbitantly expensive engagement ring, before clinking glasses with finest champagne. That is an example of the range of my life experiences, from utter failure and destitution to incredible wealth and success. It's impossible to un-experience those things, and to reset the "minimum viable quality of life" to a level of my own choosing.

Could I be poor and happy? Quite possibly, but I very much doubt that I would be happy flipping burgers, getting paid minimum wage on a zero hours contract McJob and giving all my hard-earned money to capitalist leeches for the privilege of being alive.

If you flip burgers and you are happy, then I'm pleased for you. If you're a starving African child with mutilated genitals and you're happy, then I'm pleased for you. Please also recognise that I cannot un-experience what I have experienced in my life and I cannot choose how to feel.

Tags: #capitalism #suicide #career

This is a story about personal responsibility...

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

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

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

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

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

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

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

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

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

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

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

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

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

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

I've gotten tired. Really tired.

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

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

I haven't been looking after myself.

I've broken my rules.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Tags: #bipolar

This is a story about being a nerd...

I suppose that I forget that I live my life as an almost completely open book; that I have this million-word repository of all my deepest darkest thoughts, thoroughly documenting every unflattering detail about me. I suppose I forget that it's not normal to live life with so little privacy and secrecy.

I try to be considerate of other people's normal attitudes towards privacy, confidentiality and discretion, but my own attitude - that I'll write about and publish all the gory details of my life in public - is so extreme that I can misjudge how uncomfortable it can make people feel, that there's a certain amount of information which exists about them in the public domain, but there's a tacit agreement that to look at that data would be a bit stalker-ish.

We might choose to have an Instagram account where we put up photographs of all our happiest moments. We might choose to have a Facebook account where we share things which tell the world what our values are. We might choose to have a LinkedIn account, where we present our professional persona for the purposes of getting a job or finding clients. We might have a website where we sell our services.

In the UK, company directors, shareholders with significant stakes in public companies, homeowners, criminals and other people will have their names and other details recorded by places like Companies House, the Land Registry and the courts, such that any member of the public who wants to do a bit of digging can find things out... things that might make us uncomfortable if anybody went digging in the archives.

I'm becoming increasingly easy to find - a quick Google search or a search of Twitter will quickly yield this website - and I suppose it's an illustration of how unusual it is for somebody to write and publish so candidly, so many unflattering things about themselves, that few colleagues and love interests have bothered to try to find me, because they must surely presume that they wouldn't find anything more interesting than a Facebook profile or a dull Twitter page with lots of retweets. Equally, perhaps it's very British to be a reserved and private person, and equally to keep our noses out of other people's business.

My day job involves gathering a lot of very private and confidential data from vast numbers of people, and keeping it safe, there is still a great deal of responsibility on my shoulders to not abuse my powers. I've worked for very many organisations, which have entrusted me with the power to go digging in the databases, if I was determined to do so. I suppose I think of publicly available data as having been made public for a reason, but in truth, unless you're a technology professional you're probably not particularly aware of how much you might inadvertently be sharing with the world.

I guess the lesson I haven't learned is a simple one: don't look.

It's strange that the guardians of such vast amounts of very sensitive compromising personal data are the nerds who some consider to be almost sub-human. Some of us love to laugh at the involuntarily celibate (InCel) men who are so incredibly gifted in the field of technology, data and the internet, but completely feckless in the world of dating and girls. How desperately the InCels would like to get a girlfriend and have sex, but instead they lurk in dark bedrooms, running the entire internet. How ironic that the InCels should know better than anybody else, just how much casual sex everybody but them is managing to get. How ironic that the InCels who are told that they're creepy and gross, also see that some men receive very different treatment: what's creepy and gross for a nerd - unwanted attention - is quite welcome and encouraged if you're a Chad, to use the InCel terminology for a hypothetical handsome man.

I don't know whether to think of myself of one of those creepy nerds, or whether to think of myself more as a Chad. The internet is my window into the world, and I probably put my tech skills to misuse when curiosity gets the better of me. I freely admit that I struggle to resist the temptation to see what's out there on on the internet, relating to a girl who I'm very attracted to... which is not good behaviour, I think.

Admitting to having Google'd somebody seemed harmless enough, I thought; perhaps even funny. I thought that it would be a bit embarrassing for me that I was curious and went and took a look, but it turns out that it can make the person who got Google'd very uncomfortable.

I live my life with this vast trove of unflattering things about me, publicly available, but I have written repeatedly about the difficult feelings I have when dating, being so exposed. I guess it would make me very defensive and feel very exposed, to know that somebody who I had a romantic interest in was reading this, and judging me. I'm a very difficult person to judge from my public persona, because I've written and published so much. I always worry that a person would quickly get bored of reading, and then form a judgement based on the particular chapter of my life they walked in on, rather than seeing the big picture.

Anyway, I probably shouldn't write about this, because it's also crossing another line, but I very nearly caused the calamitous end of a very pleasant evening, because of my own curiosity and propensity to be very honest and open: Admitting that I'd been doing what was interpreted as cyber-stalking was not a good look. It was a big mistake. I thought it'd be funny that I'm such a nerdy weirdo and so insecure, that I did a bit of Google'ing, which was harmless in my mind, but it turned out to make the person very uncomfortable, and I very much regret it.

I can't say much more, because I do have certain rules about what I'll write about and what I won't, in order to preserve some of the privacy of relationships I have with friends, and my dating escapades.

Anyway, turns out I can be a bit of a creepy stalker weirdo, but it also turns out that I'm enough of a Chad to get away with it, although I do regret what I did and I won't do it again.

Tags: #privacy #socialmedia #writing

This is a story about making people better...

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

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

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

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

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

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

I believed that treatment was effective.

I just had to find the right treatment.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

This is a story about fit for purpose...

Here are a range of prescription medications. Three of them are illegal to possess without a prescription under the Misuse of Drugs Act, because they are scheduled as "class B" and "class C", respectively carrying a 5 year prison sentence, a 2 year prison sentence and an unlimited fine.

So, 3/5ths of the medicines pictured here could see me locked up for somewhere between 2 and 5 years, if I didn't have a prescription.

The medication at the top of the picture is lamotrigine, which treats bipolar depression, as well as epilepsy. It has no abuse potential, but it does carry a high risk of causing a fatal skin rash.

The medication in the middle of the picture is bupropion, which treats addiction to nicotine. It has no abuse potential, but it also carries a high risk of causing seizures, which might be fatal.

The medication in the bottom-left of the picture is pregabalin, which treats neuropathic pain. It is addictive and can be abused. Pregabalin is a "class C" controlled substance, and anybody caught in possession without a prescription, will receive 2 years imprisonment and an unlimited fine.

The medication in the top-right of the picture is methlyphenidate, more commonly known as Ritalin®, which treats Attention-Deficit-Hyperactivity Disorder (ADHD) and Attention-Deficit Disorder (ADD). It is addictive and can be abused. Methlyphenidate is a "class B" controlled substance, and anybody caught in possession without a prescription will be imprisoned for 5 years and receive an unlimited fine.

The medication in the bottom-right of the picture is zopiclone, which treats insomnia and other sleep disorders. It is addictive and can be abused. Zopiclone is a "class C" controlled substance, and anybody caught in possession without a prescription, will receive 2 years imprisonment and an unlimited fine.

So, if I didn't have a prescription for all the medications on this table, I could be facing 9 years in prison and an unlimited fine, should the judge decide that my sentences should run consecutively, not concurrently, due to the gravity of my crime.

Yet, millions of UK citizens receive the medicinal benefits of pregabalin, methylphenidate and zopiclone, and the quality of their lives is greatly improved. These tablets were developed as medicines by pharmaceutical companies, to treat medical problems. Substantial empirical evidence was gathered in many controlled trials, to prove that these medicines were safe and effective at treating the medical problems they have been licensed for.

Indeed, these medicines have unexpected benefits beyond the purpose they were licensed for. Lamotrigine improves sleep quality. Bupropion is a fast-acting non-drowsy antidepressant, which also increase libido and enjoyment of sex. Pregabalin reduces anxiety and aids sleep. Methylphenidate improves concentration, allowing students to study harder and for longer periods. Zopiclone can prophylactically prevent psychosis and mania, by preventing sleep deprivation.

It is very hard to argue that the Misuse of Drugs Act and the Psychoactive Substances Act are successful laws, because the evidence shows that the use of mind-altering substances remains entirely unaltered by legislation which seeks to discourage that behaviour, and harshly penalises those who break the law.

If I approached my GP and asked for zopiclone to help me sleep, methylphenidate to help me concentrate at work, pregabalin (or any benzodiazepine) to treat my anxiety and zopiclone to treat my depression, they would flatly refuse all my requests.

My GP would tell me that zopiclone is too addictive, despite my insomnia ruining my life. My GP would tell me that methyphenidate is too addictive, despite my inability to concentrate impairing my ability to be productive at work. My GP would tell me that pregabalin is not licensed to treat anxiety, and it's too addictive, despite my poor quality of life due to anxiety. My GP would tell me that benzodiazepines are too addictive, despite my life-ruining anxiety. My GP would tell me that bupropion is not licensed to treat depression.

Instead, I would be offered sertraline, which would allegedly treat my depression and reduce my anxiety. Sertraline is very slow to take effect and it has an emotionally-blunting effect, as well as affecting sex drive and ability to orgasm. Sertraline is not an effective treatment for anxiety. Sertraline is not an effective sleep aid. Anybody who has ever tried to quit sertraline will tell you that it is very addictive and the withdrawal side effects are intolerable.

In short, doctors would offer me nothing.

In short, doctors would tell me to go away, even though their medicine cabinets are stuffed full of medicines which have been extensively proven to treat the ailments which ruin my quality of life. The medications exist, but I would be denied a prescription to access those medications.

This much like a man who is dying from a bacterial infection being told that he's not allowed any penicillin, because a small number of people have a penicillin allergy.

Then, there are medications such as diacetylmorphine and ketamine, which are considered essential medicines. Diacetylmorphine, more commonly known as heroin, is scheduled as "class A" which carries a 7 year prison term and an unlimited fine, if possessed without a prescription.

How can we have a Misuse of Drugs Act which puts diacetylmorphine - a medicine routinely prescribed - into the same category as crack cocaine. Crack cocaine is fiendishly addictive and has zero medicinal use. Crack cocaine is so addictive, that it might even be considered to be "instantly addictive" and the vast majority of its users commit acquisitive crimes - muggings, thefts, burglaries - to raise money to pay for their drug addiction. Addiction is a medical condition, not a crime.

How can we have a Misuse of Drugs Act which puts mushrooms into the same category as crack cocaine? In fact the law states that it's magic mushrooms which are a "class A" controlled substance, which implies that the government believes in magic. Is that not utterly terrifying? Is it not utterly terrifying that our lawmakers are so mentally impaired that they would make specific reference in law to a certain type of mushroom which is "magic". Like, are you for real? We actually have laws criminalising magic, in the 21st century.

What would be a fitting punishment for anybody possessing a "magic" mushroom? Perhaps they should be made to climb a beanstalk grown from "magic" beans. Perhaps they should be lashed to a dunking seat and immersed underwater until they drown. Perhaps they should be burnt at the stake. These are the punishments that are most ususal for involvement in "magic".

We also know that behaviours such as sex and gambling can be addictive, but nobody imagines that gambling addicts inject decks of playing cards into their veins. In fact, gambling is widely permitted, advertised and promoted throughout society, despite its addiction potential. We are allowed to have sex, even though there is a risk of contracting sexually-transmitted diseases, and there is addiction potential.

Terrifyingly, the government has now passed an Act of Parliament which criminalises:

Things that cause hallucinations, drowsiness or changes in alertness, perception of time and space, mood or empathy with others

Obviously, eating a big meal might cause you to feel drowsy. Being tired will make you drowsy and less alert. Being tired will affect your mood and make you more 'snappy' with others. It seems pretty obvious that children are a thing that causes drowsiness, changes in alertness, mood and empathy with others. Many mothers get post-natal depression (mood change) and many parents feel a great deal of empathy towards their children. Is the production of children going to carry the 7 year prison sentence, as the law states?

The law helpfully tells us that:

Food [doesn't] count as psychoactive substances.

But, hang on a second... aren't mushrooms food? If I'm a mushroom producer or supplier, am I exempt from the 7 year jail sentence?

Let us imagine that I cross-breed a "magic" mushroom with a regular mushroom, not thought of as "magic" by government lawmakers, I must surely be able to produce a non-magic mushroom, which I can supply as food, even though it might cause hallucinations, changes in perception of time and space and mood. Clearly if I used gene editing, I could produce a mushroom that was not "magic" at all - no witchcraft or wizardry necessary - and this could be bought and sold in the supermarkets as food.

Fundamentally, the Misuse of Drugs Act and the Psychoactive Substances Act are flawed pieces of legislation, which are not protecting citizens of the United Kingdom, reducing crime, reducing antisocial behaviour, saving lives or reducing the burden on public services. In fact, it is categorically clear that the UK's approach to mind-altering substances is a gigantic waste of money, which is also ruining countless lives, by criminalising people with medical conditions.

The fact that we have the word "magic" in our statute books, criminalising mushrooms that are alleged to have "magical" properties, in the 21st century, is quite absurdly ridiculous. The fact that we have put "magic" mushrooms, diacetylmorpine and crack cocaine into the same "class A" schedule, carrying the harshest punishments. Diacetylmorhine is an essential medicine, administed every day by up to 130,000 doctors and countless nurses. Picking "magic" mushrooms to share with my friends is punishable by life imprisonment.

I can understand that crack cocaine is an instantly addictive drug that drives most of its users to commit a very great deal of crime, because they are suffering from an illness. Therefore those who supply crack cocaine are committing a terrible crime, because crack cocaine exists for no other purpose than its abuse, and it's abuse is so devastating that it ruins the life of the sick person and creates very many victims of crime. I can understand why supply of crack cocaine is punishable by life imprisonment.

I cannot understand that "magic" mushrooms, which are not addictive, and its users commit no antisocial nuisance nor cause any burden on the state, and are an incredibly safe thing to eat with no fatalities attributed to their consumption, are seen as the same as crack cocaine in the eyes of the law. Those who supply magic mushrooms are no more guilty than a person who obtains a crate of beer, with which to share with their friends. 

The antisocial behaviour of people intoxicated by alcohol, the addictiveness of alcohol and its adverse health effects, makes suppliers and producers of alcohol culpable for a very serious crime, which deserves harsh punishment, if we follow the logic applied to other mind-altering substances.

To sell packs of cigarettes is possession with intent to supply an addictive harmful substance. The health damage caused by cigarette smoking and the antisocial nature of it, because of the harm caused to passive smokers by second-hand smoke, as well as the unpleasant smell of cigarette smoke, which also harms items of clothing and other property. Cigarette smoking places considerable burden on the state, who must invest significant sums of money into smoking cessation treatments, smoking prevention programs and treat the many smoking-related diseases. Smoking-related diseases shorten lives, cause early death and reduce the productive capacity of those who suffer from cigarette addiction. Cigarettes have a high economic cost to society. Suppliers and producers of cigarettes, cigars and loose tobacco are culpable for a very serious crime, which deserves harsh punishment.

When the esteemed neuropsychopharmacologist Professor David Nutt was adviser to the government on its drug policy, he suggested - based on overwhelming empirical evidence - reclassifying all drugs based upon the health risks they posed, the harms they cause to society, and the economic cost of their use and abuse. He was forced to resign. Drugs are a politcal pawn and the government has no interest in the wellbeing of its citizens, with respect to drug use.

We only need to look at Portugal, which took a scientific data-driven approach to its drug policy and has achieved:

• 60% increase in uptake of addiction treatment programs
• 90% drop in the rate of drug-injection related HIV infection
• 45% decrease in the murder rate
• Drug-related deaths dropped to 3 per million (in comparison to the EU average of 17.3 per million)

The most [un]surprising thing of all is that drug use remained the same. People like to take drugs. LOTS of people like to take drugs. Alterations to the law do not affect people's desire to take drugs. Drug laws are not a disincentive to drug taking, because drug taking has been a feature of human life since pre-historic times. People want to take drugs, hence why alcohol, cigarette and coffee consumption is ubiquitous and legal.

2.5 million Xanax tablets were purchased on the black market in the UK. At least half a million people in the UK are using MDMA (ecstasy) on regularly, and on a single weekend, a million tablets could be consumed. Almost one million UK citizens are using powder cocaine, and most of them are affluent professionals.

What we can learn from Portugal is that punitive drug laws have no affect on citizen's behaviour. The criminalisation and harsh punishments are not a disincentive to illicit drug purchase and consumption.

Legislation to criminalise the sale of alcohol - prohibition - was tried in the USA from 1920 to 1933, and it was an abysmal failure. Industrial alcohol was deliberately made extremely poisonous in 1927, causing innumerable deaths and making people blind. But people drank it anyway, getting literally "blind drunk". Moonshine was responsible for vast numbers of speakeasy customers being poisoned: 33 people in Manhattan, NY died in just three days, for example.

We can see from all historical evidence, worldwide, that every culture has used mind-altering substances extensively. Coca leaf chewing is common in South America. Tobacco smoking and chewing originated in North America. Betel nuts and areca leaves are chewed all over Asia. Khat leaves are chewed in Africa. Tea leaves a brewed in hot water in China and India. Coffee beans are roasted, ground and brewed in South America. Cannabis has been drunk as Bhang in India for more than 3,000 years, and the Egyptians were smoking cannabis 3,600 years ago. Opium was being consumed 5,400 years ago, by the Mesopotamians. Alcohol wins the top prize though, because it's been brewed for at least 13,000 years - since the goddam stone age.

The invention of distillation apparatus is a relatively recent phenomenon, but we should accept that human desire for intoxicating alcoholic beverages has been unwavering since the discovery of the fermentation process, and the invention of brewing methods. The body of archeological evidence overwhelmingly proves that beer and wine were present in human lives, continuously. Mass production of cheap distilled spirits pose new challenges, but we must remember that society does not adapt to scientific and technological advances with sufficient speed to avoid difficult periods of re-adjustment.

The isolation of psychoactive molecules responsible for psychoactive effects, and the laboratory synthesis of those naturally occurring compounds, has resulted in highly refined and pure chemicals. The investment in high-volume chemical production for industrial and agricultural uses, makes the precursor ingredients for synthesised compounds extremely cheap, and therefore, drug supply can inexpensively meet drug demand, through mass-production. The very poorest people in the world are often able to afford to buy very potent and pure drugs.

In 1804 Friedrich Sertürner isolated the morphine molecule from opium. In 1804 the world's population was 1 billion and the average global income was $3 a day (adjusted for inflation). Today, 3.4 billion people live on approximately $3 a day, which means that there are 340% more people living in poverty on an increasingly overcrowded planet.

We know from animal studies that stress and overcrowding affects behaviour adversely - "the behavioural sink" - and experiments have produced compelling evidence. Animals whose living conditions are intolerable, will prefer water laced with alcohol, cocaine, heroin and other addictive drugs. When the experiment is repeated with better living conditions, such as having other animals to socialise and have sex with, more comfortable bedding, exercise wheels and toys to interact with, then the rats prefer to drink the water without any mind-altering substances.

Findings from experiments with overcrowding in rat colonies found the following disturbing results:

Many female rats were unable to carry pregnancy to full term or to survive delivery of their litters if they did. An even greater number, after successfully giving birth, fell short in their maternal functions. Among the males the behavior disturbances ranged from sexual deviation to cannibalism and from frenetic overactivity to a pathological withdrawal from which individuals would emerge to eat, drink and move about only when other members of the community were asleep.

The animals would crowd together in greatest number in one of the four interconnecting pens in which the colony was maintained. As many as 60 of the 80 rats in each experimental population would assemble in one pen during periods of feeding. Individual rats would rarely eat except in the company of other rats. As a result extreme population densities developed in the pen adopted for eating, leaving the others with sparse populations.

Infant mortality ran as high as 96 percent among the most disoriented groups in the population.

Translated into human terms, we see that the majority of the world's population live in overcrowded cities. We see neglected and abused children taken into foster care. We see high infant mortality rates in the developing world. We see sexual deviancy. We see widespread manic-depressive symptoms and other psychiatric illnesses. We see men living lives of quiet, desperate isolation, withdrawn from the world and spending most of their time in their bedrooms, emerging only to grab a microwave pizza or use the toilet.

One must remember that in the rat overcrowding experiments, there were no drugs or alcohol. The behaviour of the rats was a spontaneous response to their living conditions.

Thus, we must conclude that the problems we see in society are not caused by drugs and alcohol, but the abuse of drugs and alcohol is caused by intolerable living conditions.

In the west, the social problems we have are due to industrialisation and mass-production, which required high-density housing in close proximity to the factories, mills, textile manufacturers and steel works. The social problems were compounded by the service industries building tall office blocks in the business districts of major metropolitan areas. Property developers built high-rise housing blocks in cities which were already densely populated.

Manhatten had a population of 60,000 people in 1800. Today it has a population of 1.7 million people who each earn $378,000 per annum, on average.

Hong Kong Island had a population of about 3,000 people in 1842. Today it has 1.3 million people and a 2-bedroom city centre apartment would cost about $2 million to buy.

Those are the affluent places.

In the developing world, the social problems are due to the purchasing power of "soft" currencies. Only the US dollar, Japanese yen, European euro, Swiss franc, Canadian dollar, Australian dollar, New Zealand dollar and British pound, are considered to be "hard" currencies.

Developing world nations need to build factories, mills, mines, railways, ports, power stations, which can only be paid for in hard currency, along with hospital and a university, fully equipped, staffed. The university needs a library full of books. Almost everthing has to be imported, and the suppliers want to be paid in hard currency.

The developing world nations take out loans from the World Bank, issued in hard currency to buy what they need. The crop harvest, manufactured products and natural resources are exported to buyers who pay with soft currency. Labour is also sold using soft currency .

$1 can purchase 8.3 minutes of labour in the USA. $1 can purchase 36 hours of labour in Ethiopia. The poorest and hungriest Ethiopians get paid 10 Ethiopian birr for 12 hours labour. A day's wage is the same as the cost of the day's food.

$1 is exchanged for 30 Ethiopian birr. The dollar seller can pay 3 Ethiopians their daily wage, after they complete 12 hours labour. The Ethiopian birr seller can purchase $1 of specialist goods, specialist services, or hire a highly-qualified and experienced expert, from the richest nations. $1 could purchase 1 minute of time from a prospecting geologist to survey Ethiopia's stone, ores, minerals, metals and gemstones. When the data is gathered, Ethiopia can then calculate the capital expenditure to purchase land, build processing facilities, buy equipment, and build supply infrastructure. Then they consider the cost the cost of paying for supply chain services. They calculate how soon they can be ready to start exporting. They calculate a sustainable export capacity and work out the anticipated lead time from initial purchase order, legally binding supply contract, agreed.  The operating costs are deducted from the expected income from the exports. It's pretty easy maths:

(Capital expenditure + operational costs + transport costs) - (average raw material market price x quantity of raw material available)

This equation gives three numbers,

1. How much money do we need spend before we see a single dollar

2. How much money will be earned until all the natural resource is gone

3. Proft (if any)

Wheat to make flour with is $0.46 in the US commodities exchange. Coffee beans are $0.94/kg. Orange juice is $1.17/litre. Cotton is $0.71/kg. Raw sugar from sugar cane has by far the lowest market price, of $0.13/kg.

Processing makes little difference: Alcohol made from cane sugar trades at $1.34/litre and refined white sugar trades at $348.

So we can forget growing crops. The US and EU subsidise their farmers by purchasing their harvest, then dumping it in huge silos, or otherwise paying farmers a subsidy for not growing their crop, which is greater than the amount the farmer could expect to earn by selling the harvest. That's economic warfare by the wealthy west on the impoverished developing world nations. The game is rigged.

Then stone, ores, metal, precious metal and gemstones are worth considering.

Iron ore trades at $89/kg. If you invested in heavy machinery and a processing plant: Copper trades at £3/lb, Aluminium at $1/lb. Nickel at $6/lb and Zinc is at $1/kg.

This is because $1 can purchase at least 1kg of flour, which will feed a mother and child for a day. The hungriest poorest people will exchange 12 hours labour . Therefore $1 buys 87 times more labour in the poorest parts of the developing world, than it does in the USA. So $1 is offered in exchange for enough local currency to buy 1kg of flour. It costs 30 Ethiopian birr to buy 1kg of flour,

The densest population on the planet is Tondo - a district in Manila - where you are never more than 2 metres away from another person. I'm 1.83 metres tall, so if I lay down to sleep, I would have 17 centimetres between me and the nearest person That's disturbing.

The developing world population has increased dramatically in the last 200 years, which is a lot of hungry mouths to feed, in countries which might not have clean drinking water, medicine, sanitation systems, and people live with a lot of hunger. See below:

Can you see the trend? Poor nations are getting more populated, which drives down the value of their labour drives down the value of the crops they produce, and drives down the price of the the other commodities they can produce. In a system of global free-market capitalism: A hungry person will work harder for longer, than a well-fed one. A person who lives in a country with high infant mortality rates will have more children that a person with great well-equipped hospitals and doctors, in every city.

It's ludicrous to be criminalising things which would never exist if we paid more for our edible crops. For example, 1kg of opium resin is worth $2,506 if you buy it wholesale directly from the farmers in Afghanistan. That heroin has a market value of $6,600 in the USA.

The drug problem is the inevitable conclusion of exploiting the developing world's labour, crops and raw materials.

I should really have written this as a series of blog posts, but I might is this in a non-fiction book I plan to write if I can convince somebody I like to co-author it with me. Or at least get a literary agent to find me a publisher and give me an editor.

Side note: I started writing this on Saturday and it's now Monday (well, Tuesday, technically) and I've hardly slept. I must publish this now, and proof-read and edit tomorrow.

I hope you find these 4,000 words entertaining.

Tags: #economics #politics #drugs #addiction  #politics #law #criminal