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Bloodbath

5 min read

This is a story about picking on an easy target...

Pink sink

Has anybody ever died of shame and embarrassment? I feel horribly exposed all of a sudden, having published my entire psyche into the public domain - all the inner-workings of my mind; every dark secret is out on display.

I'm acutely aware that I've kept writing and publishing throughout periods where I was incredibly unwell. I'm acutely aware that I've published unedited things, despite being exhausted, stressed and unable to make a sound and rational judgement call on whether or not to publicise private matters.

It's quite apparent that my rather strange and questionable mission - to submit my private journal to public scrutiny - has been incredibly costly.

Have I made a mistake?

Clearly, I've made a whole string of mistakes. Every day, I think about millions of mistakes I've made that I could write about. Even the process of exploring all my feelings and admitting my fault, is somewhat of a mistake.

Racked with self-doubt and feeling a mounting sense of vulnerability, I've thought about back-pedalling - haven't I made myself look like a buffoon in front of enough friends, family and strangers? Shouldn't I now clam up with shame and regret that I ever opened my mouth? Shouldn't I bury this blog and hope that nobody ever brings up the matters I've made public?

It would be so easy to press the "delete" button and destroy the digital identity which I've created. It would be so easy to deny all knowledge of ever sharing extremely personal matters. Don't believe everything you read online.

If I loaded a gun with bullets and handed it to you, I turned around and you shot me in the back, would you feel victorious?

I don't understand why anybody would take the ammunition which I give them and use it against me. I don't understand why anybody would take the opportunity to sucker-punch me, when I'm making myself so vulnerable; such an easy target. Is there really any pleasure in picking on somebody who's laid wide open to attack? Where's the sport?

I've started to wonder what happens to the people who pick my pocket, blame things on me or thump me in the face, knowing that I won't defend myself or retaliate. Do they feel pleased with themselves? Do they feel happy and are they able to sleep soundly at night?

If I'm starting to sound like I think of myself as sweet and innocent and free from all sin, that's not the case. There's more than enough admission of wrongdoing on these pages, if you want to go digging. I'm not some butter-wouldn't-melt, holier-than-thou, whiter-than-white person who claims to never have said boo to a goose. I admit that I'm a deeply flawed individual.

I'm struggling with a cloudy brain. I feel like my wits are dulled and my thoughts swim through treacle. I feel run-down; unwell. I feel like I'm not well enough to be writing. I regret things I wrote when I was sick, in the past.

As the truest version of myself - free from drink and drugs - emerges from under a dark storm-cloud, I struggle to reconcile the way I feel now with how I felt when I had the protective armour of intoxication. I'm full of stress, nervous tension and anxiety, while my brain is raw and damaged from abuse - I'll recover, but it's taking time.

I'm defensive, because I can't afford to lose any more opportunities. I can't afford to have my reputation tarnished anymore, even if it appears to be me who's doing the tarnishing. I can't afford to have influential people leaping to the wrong conclusions. Why continue to write so honestly? Why take the risk? Why not shut down this crazy experiment?

The fact you're reading this means that you're either going to use it against me - shooting me in the back with the weapon I handed to you - or you'll dig a little deeper; try a little harder. It's all too tempting to kick a man when he's down though, isn't it?

It's too obvious and easy to shut down; shut up. I've come this far, so why shouldn't I keep writing? What does it matter if I make myself unemployable? What does it matter if I can never return to the part of society that routinely lies and wears a mask of insincerity? Why the fuck do I want to live in a world full of absolute arseholes, who stab each other in the back?

Come; come and beat up on me; come and put the boot in; come and strike me with sticks and stones and whatever weapon you can grab, while I lay battered and bruised, unarmed on the floor, naked, afraid, defenceless, outnumbered and in pain.

I invite you to martyr me.

 

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Don't Scare the Horses

6 min read

This is a story about comfort...

New Forest Ponies

Halley's Comet will next be visible in our skies on the 28th of July 2061. If I live that long, I'll be 82 years old, which is not inconceivable given that the current life expectancy of a man in the United Kingdom is 81.6 years old. As a lifelong non-smoker, I've also enjoyed a highly nutritious diet and not done a lot of manual labour or worked with particularly toxic chemicals - in theory, I can reasonably expect to live longer than the current national average, which increases quite steadily. In fact, on average, most men my age can expect to live into their 90s.

Edmund Halley was able to calculate how regularly the comet that now bears his name, would be visible in our skies, in 1705 - just 18 years after Isaac Newton published Principia Mathematica which famously contained the inverse-square law of gravity.

Today, we are lucky enough to have telescopes capable of tracking celestial objects with incredible accuracy. We are also blessed with Albert Einstein's General Relativity which allows us to calculate the movement of the heavenly bodies, in agreement with our observations. Before Einstein's GR superseded Newton's law, the orbit of Mercury had not matched up with the predictions of the prevailing theory.

The question that we are left with is this: were the scientific community to discover a huge space rock hurtling towards Earth on collision course, would it be ethical for them to tell the general public?

I'll rephrase and repeat that question again for emphasis: if it were to be discovered that we're all going to die when a massive asteroid smashes into the planet at 38,000 miles per hour, then should we know about it?

Ignorance is bliss.

There will be a certain proportion of society - those who believe all the plants, animals and the Earth were created by a sky monster in just 6 days - who would be resistant to anything that challenges their dogma, no matter how incontrovertible the evidence. There are people who are ridiculously wilfully ignorant, despite the facts, scientific consensus and oversimplifications that spell things out in words of four letters or fewer, complete with cartoon picture-books.

However, one would have to assume that a large proportion of society would accept that they're going to die in an incinerating fireball, earthquake, tsunami, shockwave or some other catastrophic consequence of a huge rock vaporising at millions of degrees, as it collides with the globe.

We could know the specific day that almost everybody is going to be wiped out. Any survivors are likely to die soon after the asteroid impact, due to a cloud of dust and ash that will block out all the heat from the sun. If we were to burn all the coal, oil, gas, trees and use every other energy reserve we have on the planet, we'd only be able to keep ourselves alive for a matter of hours.

Leaving the planet to go and live on the Moon or Mars is a ridiculous idea - only a handful of people would be able to go, and they'd soon die without shuttles from Earth to restock them with everything that moons and planets lack to support life.

The choices are: stay and die, or leave and die.

Given that most of us are going to die in a horrible catastrophe here on Earth, do you think we're just going to sit back and calmly let the billionaires leave and watch our death from space, like some kind of firework show?

Knowing that we're going to die on or around a certain date, along with our family, friends and virtually everybody else on the planet, do you think we're going to act like normal until it happens?

Obviously, there would be anarchy, chaos, looting, barbarism.

If the general public were to learn of the impending doom, wouldn't they plunge civilisation into such chaos that any efforts to save the planet would be derailed - it would become a self-fulfilling prophecy, because the scientists and engineers who might be able to save the entire Earth and its residents, would be ripped limb-from-limb by a crazed mob.

The public might not mean to shoot themselves in the foot, but they surely would. Some people who've seen too many Hollywood movies would endlessly insist that we fire off our entire nuclear arsenal to vaporise the asteroid in space, which would in fact cause masses of fragments of highly radioactive rock to be rained down on half the globe, in a far more destructive bombardment than anything we'd suffer in a single impact.

Deflecting an asteroid could never be done on its impact orbit - the object would be too heavy and travelling too fast - so we simply wouldn't have enough time once we'd discovered the huge rock on collision course to kill us all.

We would be rabidly demanding the impossible, or simply wanting to live a few hours, days or possibly months longer, at the expense of 7.6 billion other souls - diverting our precious resources into lifeboats that would carry us into the hostile vacuum of space: out of the frying pan and into the fire.

Those who grasped the hopelessness of the situation would resign themselves to their fate. Knowing that it would be unethical to bring children into a doomed world, would we kill ourselves, live with the melancholy or become hedonists in our remaining time on Earth? Why bother going to work? Why bother paying your rent or your mortgage or otherwise attempting to lead any kind of life like your ancestors, when an extinction event is inevitable?

If the general public learned of their imminent demise, the collapse of civilised society would be inevitable. So, is it ethical to tell people? In some ways, I'm glad that the world is full of climate change deniers and people who believe that the Earth is flat. It seems plausible that we may have already reached the point of no return, and there are individuals who know beyond all reasonable doubt that we're all going to die, but they are comforted to know that the general public are sufficiently stupid to not realise until mere moments before their death.

Don't scare the horses.

 

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Stroke

5 min read

This is a story about neurotoxicity...

Eye droop

What's happened to the left hand side of my face? My eyelid has drooped; my face is no longer symmetrical. Why do I have a facial tic? Why is my speech slow and slurred? Aren't these all symptoms of cognitive impairment; brain damage?

I decided to read back through some of my blog - I read from February through to June, when I was very unwell. I was surprised that a lot of it was gibberish - I thought that I had written with lucidity, but I had mis-remembered things.

As is so often the case with me, I dice with death and I dodge bullets. I'm still very sick, but I'm getting better. I'm going to make a full recovery. My speech is normal; my face doesn't tic and my eyelid no longer droops. The brain is a remarkable thing, but I do need to stop abusing my body.

A month ago I was livid; I was unbelievably angry. I was fighting for my income, my home and my liberty - I was fighting for my legal rights - and I was spitting venom; I was furious at being abused; mistreated; taken advantage of.

I re-read the lengthy blog post I wrote a month ago, which started OK, but then I got plunged into repetitive thoughts - you can tell that my brain was stuck on a loop and I repeated myself several times. It's surprising that I could express myself fairly well, given the circumstances. I imagine that it took me a long time to compose what I wrote, and I clearly struggled to remember what I'd written at the start, as I reached the end.

It's tempting to edit and airbrush history, but it's much more interesting to maintain a public record of exactly what I was thinking and feeling at a certain point in time. Inadvertently I also capture other details about my state of mind in the way in which I express myself.

I've now been writing for long enough to capture two periods of total abstinence from all mind-altering substances, including alcohol, caffeine and nicotine. I'm a lifelong non-smoker. I stopped drinking caffeinated beverages in 2013. During this particular period of abstinence, I've not drunk any alcohol for 35 consecutive days.

What's the net result of all this?

Me as a kid

Nah, I'm only kidding... that was me when I was twenty years old. However, I'm sure there's been a marked improvement now that all the crap is out of my system.

A few friends spoke to me soon after I arrived on the psych ward. Although I sounded like my old self and I was in good spirits, my recovery was only just beginning - friends who see me and speak to me on a regular basis report that I'm much improved from how I was a month ago.

My hair, my skin, my nails, my teeth, my breath, my sweat and most importantly, my brain - all of these things are completely different, now that I'm not glugging gallons of booze and popping loads of pills.

I cringe with shame a little bit, to think that I made myself very exposed and vulnerable at a time when I was very unwell - the public got a little bit of a behind-the-scenes peek at me when I was extremely poorly. You can go digging in the archives, if it pleases you, or you can take my word for it: there's no surprises and there should be no pleasure in gawping at somebody when they're sick.

If we've not spoken for a while, I highly recommend that you get in contact and we actually speak on the phone - my email is nick@manicgrant.com. You might be very surprised to learn that your friend is in possession of most of his marbles, and not the raving lunatic that you might have guessed I would be, after such a traumatic couple of years.

Recovery selfie

Here's another one for the photo album, taken only seconds ago. My left eye is not yet 100% and I'm still suffering a lot of brain fog and other recovery-related problems - it'll be a month or two before I'm fighting fit. My face still tics when I'm stressed, but it's less pronounced.

I'm struggling with horrible anxiety, depression and confusion; memory problems. None of this is a surprise to me - it's to be expected, given what I've been through and I'm still going through.

I've got no idea what I'm really writing about, or what my purpose is now. Is this still the world's longest suicide note, or am I now campaigning to end the stigmatisation and discrimination that our less fortunate members of society must face: the mentally ill, alcoholics, drug addicts and homeless people... the dregs that nobody wants to touch with a bargepole. I know that I want to be the voice of the voiceless, although I know how clichéd that sounds.

I'm swimming through a fog of confusion, but I know I'm slowly getting better.

 

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Regretting Suicide

7 min read

This is a story about last regrets...

Golden Gate Bridge

The first time I took an overdose it was half by accident. It was 2014 and I was living in Kentish Town, London, with 3 strangers in an apartment that I'd just moved into. One of my best friends revealed that he had been harbouring a bunch of stuff that he was really upset about, but he'd been keeping secret - he'd lied whenever I asked if everything was OK. He suddenly let rip as if he knew my whole story, when in fact he only had one side - from my dad. I'd never felt so alone in my whole life.

I didn't mean to take such a massive overdose. When I was in the process of committing my semi-accidental suicide, I realised I could either evacuate the poison from my body, or I could let it dissolve into my bloodstream and kill me. I remember taking the decision to relax and take no action. I remember deciding to die.

I took a piss and it was full of blood. My chest was 'wet' with fluid on my lungs; my breathing laboured. My sides and tummy hurt, where my kidneys and liver were badly damaged - I was suffering renal and hepatic injury: multiple organ failure.

I collapsed and I couldn't move. I thought "this is it - I'm going to die".

Then, I realised that my death might look accidental.

I was upset that somebody might think I died by accident. I was annoyed that a coroner might conclude that my death was "misadventure". It was frustrating to think that nobody would understand that I wanted to die.

I started to think "I need to leave a note".

When you're collapsed on the floor and you can't move, it's quite hard to leave a suicide note. I had collapsed onto a laptop power supply & cable that was really hot and burning my skin - it hurt a lot and I desperately wanted to move, but I couldn't. "Dammit this is frustrating" I thought.

As I became more convinced that I was going to die, I started to think about what I would tell somebody, if I could communicate a message from beyond the grave. I wanted my death to be useful to the advancement of human knowledge, as opposed to a senseless waste.

* * *

I went to my local doctor's surgery and told the receptionist that I wanted to kill myself. She made me an emergency appointment. I went back to my apartment, where I couldn't even talk to my sofa-surfer. I was going to talk to medical professionals, or I was going to kill myself: those were the choices.

The doctor wrote me a letter and I took it to the Royal London Hospital.

After 13 hours, I was admitted as an informal patient onto a psych ward at Mile End Hospital, London.

One week later, I suddenly decided to record a video called "Goodbye Cruel World" and flew to San Francisco.

Some people might think my behaviour is rash; impulsive. In fact, I had a whole trans-Atlantic flight, plus the flight from the East Coast of the United States to the West Coast, to contemplate what I was going to do. I'd booked flights leaving myself barely enough time to get to the airport. 12 hours later I was stood on the Golden Gate Bridge, peering over the edge, having borrowed a bike from my friend and cycled there.

My amazing friends in the Bay Area were so great that I decided to get a semicolon tattoo to commemorate my trip instead of jumping off the bridge to my death.

* * *

I swallowed enough tramadol, codeine and dihydocodeine to kill me several times over. I had plenty of time to make myself vomit up the pills and phone the emergency services. Instead, I patiently waited to die. If I was going to feel any regrets, I would have felt them in the hour or two before help arrived. I had assumed that none of my Twitter followers knew where I lived, and I would not be found in time to save my life.

"What did you think would happen?" a doctor asked me. "I thought I'd fall unconscious, start having seizures and never wake up" I replied. "You're going to die slowly and painfully" I was told. "Oh well, at least I'm going to die" I thought to myself.

"No activated charcoal!" I yelled. "Don't pump my stomach!" I shouted. "Don't resuscitate me if my heart stops!" I demanded. "I don't want to be treated!" I commanded.

When I was off life support and no longer in a critical condition, I felt no regret. I still wanted to die. My intention had been to die. I didn't feel like there was some higher power looking out for me. I never thought for a moment that there was some plan or purpose to my existence on the planet.

* * *

The response to my fully premeditated suicide attempt, with a proper suicide note - the world's longest - has been incredible, and now I'm filled with a mixture of shame, embarrassment and a feeling that I owe friends and strangers a great deal of gratitude, for the love and care that I've received.

I find myself being looked after by an amazing family - who read my story and contacted me out of the blue - in beautiful Welsh countryside.

Friends who I haven't spoken to in years have gotten back in contact, and there seems to be a glimmer of hope for the future.

I wonder if people think of me as attention seeking. I wonder if people think that this was all a cry for help.

There's no doubt that when I swallowed those pills I wanted to die. I should have died - there was little chance of surviving; I had done the calculations; I had done the research.

I'm hoping that my mood will improve and circumstances will continue to be kind to me. I need work - a job; I need money. I can't stand still. To sit back and do nothing will only plunge me deeper into a destructively stressful world of pain, which will scupper any slim hope I have of rebuilding my life.

do regret the distress that I've caused to my sister, my friends and kind strangers who've followed my story. What now though? Do I attempt to go back to life as normal and pretend like nothing happened?

I've gone as far as it's possible to go to the edge of the abyss, without actually plunging to my death. I've learned everything there is to know about mental illness, hospitals, doctors, medications and psychiatry, without actually losing my mind and disappearing into an institution forever. I can tell you everything you never wanted to know about addiction and alcoholism. I can tell you about "hidden homeless" - hostels and sofa-surfing - as well as what it's like to lose everything and sleep on the streets. More importantly, I can tell you what it's like to fight back; to recover.

Fundamentally, this journey started when the odds seemed insurmountable.

The challenges ahead still look to be more than I can possibly tackle.

 

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If you're Happy and you Know it Shake your Meds

2 min read

This is a story about pill popping...

Chemist prescription

If you're unfortunate enough to find yourself on a psych ward, you might be surprised to discover that you don't have a choice about whether you take your medication or not - you can be treated against your will. That's worth repeating one last time: you can't refuse your treatment.

At the moment, I'm effectively unmedicated. I'm taking pregabalin for neuropathic pain, but I'm reducing my dose by 50mg every 4 days, so I will stop taking it altogether in just 12 days time. I'm taking zopiclone for insomnia, but I will halve the dose in 7 days time and stop taking it altogether in 21 days time. Meanwhile, I've been taking a tiny dose of lamotrogine - just 25mg - which is too little for it to have any effect.

But, presumably I was on some heavy medications while I was in hospital?

No. No I was not.

Since the 9th of September 2017, I've stopped drinking altogether - I'm teetotal - and I've stopped abusing benzodiazepines (Xanax and Valium). I've also not taken anything other than pregabalin and zopiclone. It was less than 3 weeks ago that I started taking a tiny dose of lamotrogine, which is not capable of controlling any mood disorder that might be troubling me.

I must admit that I rather toyed with the poor psychiatrists who saw me. I casually dropped olanzapine and sodium valproate into conversation, and their faces lit up like a Christmas tree. My fellow patients were acutely unwell, and injections of Depakote - colloquially known as "depo" - were dished out to anybody who exhibited troublesome behaviour. It's a sad sight to see somebody who's just had their injection, shuffling along the corridor like a zombie.

Although strictly speaking this is not supposed to happen, I dictated the medication I wanted. My notes from my psychiatrist in London had not travelled up to the North of England with me, and my new doctor (General Pracititioner) knew nothing about me. The clinical team had to take my word as gospel.

I'm now wondering whether to be compliant with the medication that I decided I wanted, or not.

 

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Notes on a Suicide - #WorldMentalHealthDay #WorldSuicidePreventionDay

8 min read

This is a story about slipping through the safety net...

Discharge summary

Exactly one month ago was World Suicide Prevention Day and exactly one month ago I was in a critical condition, on life support in intensive care. I was given a 50/50 chance of living or dying, following an overdose the night before. It seems sickeningly ironic that if the emergency services had reached me just a little bit later, I wouldn't be writing this. If I didn't live in the United Kingdom, where we have the best healthcare system in the world, I would probably not be writing this.

It was 9 years ago that I first sought help for my mental health. "Have you heard of fluoxetine?" asked my doctor, within 30 seconds of me explaining my symptoms: suicidal thoughts, low mood, low energy and an inability to get out of bed and go to work like normal. I was disappointed to be offered patent-expired generic medication, without a moment's hesitation. I walked away empty handed.

Clinical depression was where I started my mental health journey. Having the label "clinical" made a huge difference. To add that word - clinical - onto how I was feeling, was necessary to defend myself from anybody who might say "just snap out of it" or "pull yourself together". In my case, having a label was desirable - it wasn't an excuse; it was a diagnosis.

Every time I've gone to my doctor, I've been hoping to receive some counselling, but instead I got referred into psychiatric services as an outpatient in 2010. I was referred for Cognitive-Behavioural Therapy (CBT) treatment, but by the time I was assessed, my mood disorder had been diagnosed as type II bipolar disorder. The assessment concluded that my mood disorder was too severe to be treated with CBT. I was left with no psychological treatment. "What am I supposed to do?" I asked. "Go back to your doctor" came the reply. It was a devastating disappointment.

By 2011 I was so unwell that I was assessed under the Mental Health Act, to see if I needed to be detained in hospital - what is colloquially referred to as a "section". I begged to be hospitalised as I was suicidal. I repeatedly said the classic cliché that so many people will say when they are desperate for help: "I'm going to kill myself". Community Mental Health Teams (CMHTs), crisis teams and home treatment teams must hear those words so often.

With a shortage of psychiatric beds, there's a huge reluctance to "section" anybody. At the time of my first section assessment, my girlfriend and my dad were present, so the assessment concluded that I could be kept safe at home. In fact, I sawed a hole in the back of my shed, climbed over a neighbour's fence and ran away. The police were called to look for me because I was a danger to myself.

Soon after that, I was seen by a private psychiatrist, referred and admitted for 4 weeks of inpatient treatment at a private hospital. The cost was over £12,000.

There was some debate with my medical insurance company as to whether my bipolar disorder was acute or chronic. The insurance company said it was a chronic condition, and therefore not covered by the policy. The consultant whose care I was under, managed to argue - over the course of a couple of nail-biting weeks - that my presentation was acute.

Having to resort to the private sector; having disputes with an insurance company - none of this was conducive to getting better. In fact, having to find my own psychiatrist, get approval from the insurance company to even speak to the doctor and then having the stress of thinking that I might need to spend £12,000 of my dwindling savings, was an awful ordeal when I was clearly very unwell.

At the end of 2012 I got married and 8 months later I separated from my wife. She didn't care about the incredible stress that divorce and selling our house would put me under. I moved to London to live with supportive friends while my life was ripped to pieces. I lost my job.

By 2014, I completely slipped through the safety net. I took an overdose and lay dying of multiple organ failure on the floor. I managed to phone a friend who got me to hospital. After a week, the hospital discharged me to a hotel. I had two weeks to organise my own accommodation because no bed on a psychiatric ward could be found for me. My muscles were horribly damaged by the overdose and I was in agony. With a bundle of documents to prove that I was a priority case for emergency housing, I visited the local council housing department. The officer I saw promptly disappeared on holiday, abandoning my case. I became homeless.

After living in cheap backpackers' hostel, I reached my two week limit, which is a rule that most hostels have. I then started living in a bush in Kensington Palace Gardens. When it became apparent that living in a bush was not a long-term solution, I stumbled into nearby Paddington - St Mary's Hospital - and presented myself at Accident & Emergency. 12 hours later, I was given two weeks respite in a "crisis house". I tracked down the housing officer who I'd spoken to before. At the end of two weeks, I received a one-line email: I wasn't eligible for any help from the local council. Why? What now?

I was homeless on Hampstead Heath. It was very beautiful, but it was still summer. What was I supposed to do when the weather turned bad?

How had this situation come to be? I'd been a highly functional, productive and fine upstanding member of society: I'd had a successful career, paid taxes all my working life, bought a house, gotten married and done all the things we're supposed to do. What the heck was I doing homeless and abandoned by the state when I was obviously a vulnerable adult? My doctor had written a letter saying I was a vulnerable adult, and my psychiatrist had done the same. These letters had been presented to the local council housing officer, but yet it had made no difference. What have you got to do to get help in this country?

Eventually, I came to be living in the North of England, in an apartment which was a perk of a job I'd taken out of desperation. The apartment was miserable, dark and dingy, and I was terribly lonely. On the 9th of September 2017, I took a massive overdose, which I had researched on the internet to make sure it was likely to be fatal. I regained consciousness after having been in a coma, in hospital, on the 11th of September 2017 - I had completely missed World Suicide Prevention Day. A machine was breathing for me and I was put back to sleep. I didn't leave the intensive care and high dependency wards until the 12th of September 2017.

On the 13th of September 2017, I found myself discharged from hospital and left to flounder all on my own. I didn't want to go back to the apartment where I'd tried to kill myself. I've not been back there. I'll never go back there.

I was sectioned - a section 136 - after being taken to hospital by police. I had to make a massive public nuisance of myself in order to get help. The hospital upgraded me to a section 2, which meant I was going to be kept on a psychiatric ward for up to 28 days. Why now? I'd had two near-fatal overdoses, which had hospitalised me in a critically ill condition, but yet I hadn't been considered enough of a risk to myself to receive inpatient psychiatric treatment. Why did it take so long to finally get the treatment I'd been begging to get for 6 years?

The psychiatric ward discharged me from my section after 12 days, and another week later I was discharged from hospital - a good samaritan has taken me into their home. Again I wonder why no temporary housing was forthcoming, given the fact I am so vulnerable - I lost my job and my apartment due to mental health discrimination. I'm being victimised again & again.

I'm in a safe place now, but my food & accommodation comes from a charitable family who have taken pity on me, after reading my story on my blog - we clearly don't have a system that works for the whole of society. We can't all turn to Twitter every time we're having a mental health crisis.

My Twitter followers brought the emergency services to my door, saving my life. Through my blogging and social media presence, a stranger read about my desperate plight, and kindly offered to take me into the family home.

Today, I feel OK, but why have I been subjected to such a horrific ordeal? I very nearly succeeded in ending my own life, because no help was forthcoming when I really needed it - we're locking the stable door after the horse has bolted.

Using myself as a case study, the safeguards we have in place to prevent suicides are woefully inadequate. My first-hand experience of NHS mental health services, is that they're desperately underfunded and overstretched.

There will be so many tragic preventable deaths if we allow the current situation to persist.

 

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On Loneliness

1 min read

This is a story about the odd one out...

Pink flower

I'm trapped in a prison of my own mind. My internal monologue chatters away incessantly. When social norms don't constrain me, I talk to myself. Sometimes my brain tells me to do stupid stuff, like kiss a male work colleague who's talking to me in the middle of a busy office - the most inappropriate thing that my subconscious can imagine. Often times, agonisingly cringeworthy memories pop into my head, that are so awful that I wince and whisper "fuck!" under my breath.

 

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The White Wolf and the Black Sheep

4 min read

This is a story about storytelling...

Meat

I'm stood in a sunny garden, sheltered from the wind by mature shrubs. Beyond the confines of the walls and fences are lush green fields; rolling hills leading down to the sea. The air is fresh and clean, blowing in off the Atlantic. There's a smell of mown grass, which has been cut for the last time before winter - the trimmed blades clump on the lawn. Gravel crunches under my feet - I'm stood on the driveway where the cars are parked. There's a sound of a 2-stroke engine which powers a hedge trimmer, being used to tame the runaway growth in the hedgerows; the exhaust fumes blown away by the prevailing wind.

I'm throwing a ball for the white wolf. Eyes on the front of his head, not the side - that's how you know he's an apex predator; he's not worried about anybody creeping up behind him, although his ears are pricked up, listening intently. He's a smart wolf - anticipating me throwing the ball but not so eager to run and collect it that he would be fooled by a dummy. Besides, why would I want to trick a wolf? What satisfaction would I get by proving I'm smarter than an animal with a much smaller brain?

The wolf pants and drops his ball some distance away from me. The game is over. I fetch a water bowl for the wolf and he laps up the cool liquid with his long pink tongue. He brings his ball to me again, ready to play - the game starts over.

My throwing gets erratic and the ball lands on a rockery. I'm fearful that the wolf will injure himself. I stop throwing the ball.

A running sheep; a chasing wolf - he's found a new game.

Clambering over fences, the farmer holds the wolf while he strains to get at the flock which has retreated into a corner of the field, unable to flee further because the sheep are enclosed by a fence. The wolf has to learn that this is not a game.

I feel guilty. Did I get the wolf over-excited by throwing the ball for him? Was I the immature adult who gets the children over-excited before bedtime? Was I irresponsible; inconsiderate of the consequences?

I want to tell stories but not everybody wants to feature. I want to tell stories but invariably people will wonder if it's about them. I want to tell stories, but I have to be careful that I respect the need for peaceful private family life.

I'm lying on a bed with sunlight in my eyes, telling a story. It's warm and quiet and I'm very comfy and calm. My brain buzzes with thoughts; ideas - I've written a list of 49 stories that I want to tell, and I have another list with 70 more, some of which I've already told. There are more words than there are waking hours in the day to type them. Now that there is some calm around me, the dam has burst and I'm struggling to not be swamped by the deluge.

I think about tenses - why is this told in the present tense if it's a story?

So much has happened in the past and it's hard to not relive and refine the story. I do not embellish or exaggerate, but stories improve with retelling. With each iteration, a more accurate and engrossing account emerges. I have a mountain of material, and the temptation is to weave it all into a captivating patchwork quilt of tales; adventures.

Here in the present there's plenty going on but I'm a guest in somebody else's story, and it's not my place to tell it. It's strange for me to observe quietly and not pass comment. In all honesty, I swing between "where did it all go wrong [in my life]?" and gawping in awe at what's been built; forged - the achievements of the loving, kind, generous and humble family who've taken me in are breathtaking.

Outside, there's a well. It's blocked, but it's obvious what's down there - a dark cavern filled with cold water. To fall into the well would be deadly: you could never climb out. Why unblock it? Why go down there?

Obviously, the well is a metaphor for my past. I have an aquifer of hair-raising tales that I could never drain, even with a million buckets. I can draw upon my dark murky past, but perhaps I shouldn't - perhaps to plumb those depths will lead nowhere new. Haven't I written enough already, about the past?

I'm planning on writing another novel in November.

 

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28 Days Later

3 min read

This is a story about mortality...

Black cab ride

I can't bring myself to read the comments on Twitter from approximately this time 4 weeks ago. For some reason it makes me feel physically sick and psychologically overwhelmed, to take myself back to that time.

I have no idea why I've taken the photos I've taken.

Usually, photos are taken from scenic panoramic views, or at tourist attractions. Our friends and families smile back at us from our photos - happy children and kissing couples. Our photos help us recall social gatherings and other pleasant occasions.

For over 2 years I've documented my lonely and erratic life. I haven't photographed my breakfast cereal, but instead I've photographed things that are like a breadcrumb trail, that will perhaps lead me back to wherever I misplaced my marbles.

Pictured above is the cab ride I took where I decided to kill myself.

It seems apt that there would be a gap where I was without my smartphone. If anybody's read Finsbury Park Fun Run, then they'll know that our smartphones are recording where we are all the time (part 3 is where you can see the geolocation data I downloaded from my phone).

It seems apt that there would be a gap where I was without a camera.

What you might find surprising is that the only hole in my memory is the part where I was in a coma on life support. I remember exactly what it felt like to have a seizure. I remember almost everything. You'll have to take my word for it though. I do also have the documentary evidence I've been able to gather: things like hospital discharge summaries and other bits of paper I collected on my erratic journey through the last 28 days.

I've started to think about my life in terms of 'pre' and 'post' the events of 9th September 2017.

You might think that you'd be flooded with relief if you found yourself unexpectedly alive after a near-death experience. Certainly, a man who survived a suicide attempt from the Golden Gate Bridge said that he felt regret the moment he jumped off. I did not feel regret at any point.

I'm sad that I traumatised friends and Twitter followers. I haven't really had a chance to speak to some important people in my life. I can't really face ringing round. I know it'll be good when I do though - I'm immensely grateful for the phonecalls I received soon after I got my phone back.

If we consider hospitalisation for somebody who's experiencing a life-threatening crisis, 28 days seems like the usual minimum amount of time that somebody would take to get well - we'd hold people in a safe environment for 4 weeks, to make sure they're not going to fall flat on their face.

Perhaps Wednesday/Thursday is the bigger milestone, because that'd be 4 weeks since my mind finally fractured and I became so unwell that I had to be hospitalised for psychiatric reasons.

It's as if my body needed to be synchronised with my brain - there weren't any physical feelings that matched what was going on in my mind.

Today, things feel a bit more lined up.

 

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Hospital Curtains

6 min read

This is a story about modesty...

Psych ward male dorm

It took 12 days to be "discharged" from my section - that is to say, to be allowed to leave the secure psychiatric ward whenever I wanted. However, it took 21 days before I was actually discharged from hospital: no vulnerable adult can leave hospital without a discharge plan, although I could have discharged myself against the advice of the healthcare professionals who were taking care of me, because I was a free man.

I'd been assessed to see whether I needed to be detained under the Mental Health Act at least 5 times. 6th time lucky.

When you find out for the first time in your adult life, that you're about to be detained against your will, I would've thought that everybody would have a similar reaction: "oh my god, I'm now trapped somewhere I might not want to be, and I don't have any say in the matter" which is distressing.

It's not so much that I didn't want to be in hospital; it's that I couldn't leave even if I wanted to. Although I wanted to be in hospital - because I knew I was very sick and in a dreadful situation - there was still a moment where I thought "oh shit what have I done?".

To calmly accept your plight is not something that would be anybody's natural reaction. Under such stress and shock, it's hard to recognise immediately that any attempt to fight against the system will lead to further difficulties. I was least surprised out of anybody that I got sectioned, having been the one who actually phoned the police to come and get me. Of course, escape is not hard if you're determined enough. I was conflicted - I was safe, but the price I paid was my detention: I lost my liberty.

Running away from a psych ward will result in the police being called to look for you. Britain's most dangerous psychiatric patients are kept in facilities which are far more secure than anything I experienced. I could have escaped easily and the police wouldn't have tried very hard to find me - I was a danger to myself but not others.

Our natural reaction to detention is to panic and start yelling for anyone who can possibly get you out - a solicitor, a social worker, a family member - and to start demanding your rights. There's a process that's got to chew you up before it can spit you out, and once you've just started the rollercoaster ride there's no getting off until the end - scream if you want to go faster.

Despite my messed up state, I knew that I had the right to appeal my 'section' with a tribunal supposed to happen within 7 days. I knew that my dad had the right to request my release, with a decision having to be made within 72 hours. I didn't have much hope that my dad would be helpful, so I requested an appeal.

It's so damn hard to get any treatment for mental health problems, beyond some cheap patent-expired generic medications or a computer-based Cognitive-Behavioural Therapy (CBT) thing. Inpatient hospital treatment, paid for by the NHS, is only given to very unwell people or exceptionally stubborn & determined people. However, when you have been admitted to hospital once as an inpatient under a section, you might struggle to ever escape the revolving doors.

Many of my fellow patients had the same story - they were released from hospital, stopped taking their medication, went mad and were brought back into hospital, where they were forced to start taking medication again... eventually being released and starting the whole process again.

Note, when I say "forced to start taking medication" I literally mean that they were held down by a whole gang of hospital staff members and forcibly injected against their will.

It would be stupid to argue that psychiatric medication is entirely unhelpful. However, one should be mindful that a perfectly sane person who had been taking powerful antipsychotic medication, would experience extremely powerful withdrawal symptoms if they stopped. Antipsychotic withdrawal symptoms are indistinguishable from the spontaneous psychosis that occurs in a person with a mental illness - how can one distinguish between a madman and somebody who's experiencing the perturbations of a brain that's readjusting to medication-free homeostasis?

As we move towards a world where the majority of us suffer near-debilitating levels of anxiety and depression, and psychiatric medications are dished out like candy from general doctors who have no specialist training in the treatment of mental health problems, are we diagnosing disease when we should be looking at what a person's life circumstances are like?

Ironically, I was diagnosed with adjustment disorder, which is to say that I simply couldn't cope with stressful life events - a clinical label for an intolerable clusterfuck of dreadful stuff which could happen to anybody. There isn't a pill for adjustment disorder, yet, although a bottle or two of wine each night is often chosen as self-medication.

The stress of living with 20+ mentally ill men in a locked psych ward is something that most people would not adjust to particularly easily. The 4 walls of my home were replaced with a curtain, which was opened every 15 minutes by a nurse or a support worker to observe what I was doing.

I think psych wards are necessary and I'd rather have the apparatus that treats mental health problems, than not have it at all. This is not an essay that criticises mental health treatment or the hardworking professionals who care for people with mental health problems. I write merely to reflect on my journey through the mental health system, which finally ejected me yesterday. I'm coming to terms with the fact that I was discharged from hospital, and today is the first time in weeks where I have woken up somewhere I can leave without having to ask permission.

Yes, I think that sums up yet another Earth-shattering overnight change to my life: I've gone from a flimsy curtain and a locked door, to 4 solid walls and I'm free.

 

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