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I write every day about living with bipolar disorder, also known as manic depression. I've written and published more than 1.3 million words

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Dry

4 min read

This is a story about repetition...

Raindrop on the window

In my profession everything has an acronym. DRY means don't repeat yourself. I was going to write about the awfulness of withdrawing from sedative/tranquilliser type substances, like alcohol, benzos, Z-drugs and gabapentin/pregabalin. I can't be bothered. I've done it to death.

It was sunny earlier on yesterday but the weather didn't match my mood. Because I didn't feel well enough to leave the house and do stuff, I was sad that I was wasting the pleasant weather being sad and miserable indoors. Then it started raining and I felt better because the weather was more apt for the way I was feeling. I stood by the window and watched the rain.

If you write 900,000 words, you're really unwell when you write a lot of those words and your life gets smashed to bits multiple times - such that you're repeating the same well-trodden steps of picking yourself up and getting back on your feet again - then your writing is quite naturally going to become a bit repetitive.

I wish I had the enthusiasm to write whimsical fictional short stories, but I don't have a lot of time for fantasy, given the things going on in my life that ground me in reality. To indulge in flights of fancy is ridiculous when my day-to-day aims and objectives are as pedestrian as being able to pay my rent and not end up sleeping rough again.

I'm repeating myself again; hamming up my sob story - poor me, poor me, pour me another drink.

It's all very well expecting me to suffer in silence, but I have to find some kind of coping mechanism for the suffering, and mine has been drinking and writing. While the latter has been a lot healthier than other things I could use to cope, the former got rather out of hand. Time to give my liver and brain a little break from intoxicating liquor.

Oh dear I'm repeating myself. Didn't I already have a couple of dry spells?

Getting started on a break from the booze is harder than you'd think. I spent most of yesterday evening, night, this morning and this afternoon feeling like I wanted to slice into my arm lengthways in order to puncture my radial artery. I've felt like everything is going to go wrong and that I'll never escape my predicament; that I'm getting nowhere. I've felt like everything is futile and life is so unpleasant that I'd rather be dead. I'm attributing these feelings to the abrupt cessation of the consumption of alcohol.

I'm not sure why I'm doing this to myself. The sleep deprivation and horrible gnawing anxiety that I'll put myself through will in no way compensate for the marginal relief that my liver will feel, and I jeopardise my job because my days at a desk with nothing to do become intolerably awful.

My friend calls this "the fear" which I think is a good description. For him - a moderate drinker - it can be 3 days of unpleasant nonspecific butterflies in the tummy. For me it's a round-the-clock skin-crawling hellish experience that completely ruins my ability to function and puts me on a precarious knife-edge, with self-harm and suicide being the big risks.

I needed to make a change and it's easier to do it now that I have a bit of money in the bank, but I've got to get through another month and a half of the daily grind before I can have my first proper holiday for 22 consecutive months.

I'm already starting to falter and slip-up. My spotless image was tarnished when I had to take a couple of days off sick. I'm going to have to figure out how to take more time off if I'm going to be able to limp along to the middle of June without having a nervous breakdown. My petrol tank is empty and even the fumes have pretty much gone - I'm spent.

I hate writing like this - this whingey diary entry. This isn't the kind of writing that I want to be doing. I promised myself I'd write fewer than 700 words, and I'm going to have to stop now if I don't want to exceed...

 

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My Government Made Me a Criminal

9 min read

This is a story about changing the law...

Legal high packets

In 1920 in the UK, heroin and cocaine were made illegal to possess - if you were alive when heroin and cocaine could legally be bought and sold, you're 98 years old, or older. Assuming that becoming a drug addict isn't generally possible until you're old enough to obtain money, score drugs and get high without your parents noticing, let's assume that you'd have to be a 12-year-old heroin addict back in 1920, in order to have been affected by this change in the law, which means that you'd be 110 years old today, assuming you're still alive.

Having tried various antidepressants and mood stabilisers which were prescribed by my doctor, I became frustrated with the fact that most of the medications available to those who are suffering with depression, are slow acting - taking some 6 to 8 weeks to become effective - and they cause weight gain, sexual dysfunction and somnolence. Given that I valued my appearance, my sex life and my job, the side effects of the medications on offer were intolerable.

Through extensive research, I found many medications which are not commonly prescribed, but which had shown considerably better efficacy in clinical trials than the SSRIs and other antidepressants which were on offer through the NHS. These medications were not controlled substances, so I was able to legally purchase them from overseas pharmacies and have them delivered to me in the post.

My self-experimentation led me to a medication called bupropion - marketed as Wellbutrin - which is actually France's most popular antidepressant, but doesn't have a license for use as an antidepressant in the UK. Bupropion was very effective and fast-acting - it alleviated my symptoms of depression, and appeared to have no intolerable side effects. However, at higher doses I suffered insomnia and panic attacks. I discontinued its use.

Growing more desperate to find something as effective as bupropion - which had given me welcome and much needed relief from my depression - I turned to a group of medications for treating Parkinson's disease. These had terrible side effects, including a period where I became narcoleptic. Clearly my self-experimentation had become risky and I even induced in myself pseudo-Parkinson's symptoms briefly, which mercifully went away soon after discontinuing my experiment with L-DOPA, without lasting damage.

You have to understand that it was my desperation to feel better after years of suffering with depression and low mood, which drove me to take these risks and use myself as a human guinea pig. Given how suicidal I had been, there was only upside for me - if I died, that was likely to happen anyway through suicide; if I felt better - even briefly - then I had succeeded.

Through a tabloid newspaper, I became aware of legal highs. The tabloid newspaper's sensationalistic coverage of the legal highs was a great advertisement for something I hadn't known about or tried before. I was ready and willing to experiment with legal highs, given that I had already exhaustively experimented with all the medications I could lay my hands on.

The very first legal high that I obtained was bk-MDMA, also known as methylone. This chemical cousin of MDMA - also known as ecstasy, Molly, Mandy, X etc. - had similar properties but lacked a lot of the telltale giveaway side effects of MDMA, such as jaw-clenching and other involuntary mouth movements known colloquially as "gurning". Its mildly stimulating effects restored the energy and enthusiasm for life that had been stolen from me by depression - it was instantly curative, which is everything I'd ever hoped for.

bk-MDMA was made illegal in the UK in April 2010, but thankfully I was not addicted to it. No plan had been made to help any of the people who had become addicted to the legal highs, which overnight became illegal highs. No detox and rehab places had been made available. No medical support was available. No addiction counselling had been made available. Nobody thought about what would happen to all the people who had become addicted to substances that were completely legal one day and illegal the next. I was one of the lucky ones - I was able to abruptly stop taking bk-MDMA, but of course my depression then returned with a vengeance.

After 2010 followed a period of cat-and-mouse where those people who were addicted, or like me were self-medicating using legally available substances, were then driven out of dependency - not through choice - to then seek an alternative, which global free-market capitalism was only too happy to provide. Out of desperation, I obtained and experimented with every legally available substance I could obtain, in order to treat my medication-resistant depression.

Sadly, during this time I experienced total burnout due to the demands of my business, the collapse of my marriage and subsequent divorce, and other factors which put me at risk of addiction. In this perfect storm, I was careless and ended up experimenting with a substance which all my research had told me was exceptionally risky and should be avoided. Out of desperation I tried a substance I said I never would. It turned out to be fiendishly addictive, even though it was legal.

The cat-and-mouse game of making substances illegal - criminalising the unfortunate addicts caught the trade war - had absolutely nothing to do with health and public safety... I was one of the victims finally caught me in the net and criminalised, through no fault of my own. I had an addiction to a substance that had become illegal overnight, with nothing put in place to help me escape addiction's vice-like grip. No detox, no rehab, no treatment, no legally prescribed substitute, no medical advice, no support, no guidance, no nothing - I just woke up one day, and I was a criminal. I was wilfully and knowingly criminalised by my own government.

My attempts to stay on the right side of the law are documented above. Pictured are legal high packets of substances that could be legally bought until as recently as 2016. These could be bought in shops or via the internet. I attempted to find a legal substitute, so that my addiction did not make me a criminal, but even this route became barred to me. Addictions do not respect the law, just as much as you cannot make a law that says "all people called fred must by law become dogs" and POOF! suddenly all Freds magically turn into a dog - that's wishful magical thinking. One cannot simply legislate to get rid of addiction - addiction is an illness and it needs to be treated.

I'm not pro-legalisation. I don't think that all drugs should be legal. I think that drugs are dangerous. However, it's clearly immoral to criminalise an addict.

If I was committing crime - such as theft - to fund my habit, then I agree that those crimes have been crimes for a very long time. However, what is my crime? What crime did I commit? How did it come to pass that I'd become a criminal, with no opportunity to avoid it given my dependence on the substances in question?

The police, using their discretion, saw fit to caution me on multiple occasions for the same offence - namely possession of a controlled substance. Normally this wouldn't happen and breaking the law for a second time would automatically lead to prosecution, but perhaps the Crown Prosecution Service saw that as a test case, it would have set a disastrous precedent for their new laws.

The New Psychoactive Substances act of 2016 hinges on the central word: psychoactive. In order to obtain a conviction, it must be proven beyond reasonable doubt that the substance deemed illegal is in fact psychoactive. However, as anybody who has read the mighty tomes Phenethylamines I Have Known and Loved and Tryptamines I Have Known and Loved by Alexander Shulgin, will know that it's impossible to predict which substances will be psychoactive and which will not, without experimenting on a human test subject. Ethically it is not conscionable to experiment on humans, purely for the purposes of obtaining criminal convictions, but it's the only way that a conviction could viably stand under the government's new law - otherwise the test of beyond reasonable doubt cannot possibly stand because the burden of proof has not been met to prove the psychoactivity of a new and novel substance.

Today I'm clean and substance-free, but I have police cautions which will remain on record for life, and will not be 'filtered' until 6 years have elapsed, which prevents me from working in jobs which require an enhanced level of background checks. I cannot, for example, use my outdoor pursuits instructor qualifications to teach children to rock climb, abseil, sail dinghies or walk in the mountains. I leave it to the reader to decide whether my punishment is commensurate with my crimes, and what danger I pose to the general public.

I take a huge risk writing about this so publicly, but I feel that it's more important to publish this information than it is to maintain my privacy and anonymity. I feel sorry for those who, like me, have been criminalised by a government that doesn't give a damn who's victimised by their legislation, and whose lives are consequently ruined. I'm very lucky that I don't have a criminal record. Others have not been so lucky, because they are not so well educated and informed as me - they're vulnerable.

Drug addicts will always be a convenient scapegoat, because they're weak and vulnerable. I hope that in telling my story, you can see that addicts aren't evil, immoral and lacking in willpower. Our circumstances dictate the outcome - we don't make our choices freely.

 

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Payday

5 min read

This is a story about triggers...

50 pound notes

Having money burning a hole in your pocket is thought to trigger relapses, but I think it's the period of poverty that precedes it that causes the problems. Flush with cash after such a long struggle trying to make ends meet and not go bankrupt, who wouldn't be flooded with relief and be significantly affected by such a rollercoaster ride? Our boom and bust, feast and famine world is highly destabilising to our mental health.

Back in September I found myself jobless, homeless and without enough cash to afford to rent a place to live and support myself for long enough to get to payday. Mercifully a friend managed to get me a job in Warsaw in the nick of time, and I was just barely able to afford to be able to live in AirBnBs until I got paid - I escaped bankruptcy with just £23 left in my bank account the day before my pay finally started to arrive.

Back in February I had to buy a car so that I could get to my new job, tax it and insure it. That nearly wiped me out.

Back in March I had to rent a place to live, and paying the first month's rent, deposit and letting agent fees again nearly wiped me out.

I've spent April praying that nothing goes wrong - that I don't lose my job and that my car doesn't break down. I couldn't afford any unexpected bills - I've been running on fumes, although it wasn't quite as bad as when I got down to my final £23.

My financial distress dates back to December 2016, when the Christmas and New Year period delayed me from getting back into work, and by the time January arrived I was very unwell - I spent 3 weeks in hospital on dialysis and promptly lost the job I'd just managed to get. Things got worse and worse, peaking in July when I had a very large tax bill to pay and I had to leave my apartment in London because I could no longer afford the rent. Out of desperation I took a job in Manchester, which turned out to be disastrous - I didn't know anybody in Manchester and my entire life was in the hands of a company which ended up treating me very badly indeed. I tried to commit suicide.

Working in Warsaw and London during December, January and February, meant I was incurring a lot of expenses, with flights, hotels, train travel, AirBnBs and the other costs of living out of a suitcase. I tried to live off pot noodles and other things that can be prepared without a kitchen, but economising can become impossible when you have to travel around from place to place - I had to re-buy all the things you generally keep in the kitchen cupboards, or carry food around with me without the contents of the open containers leaking and turning everything into a horrible mess.

Finally, I managed to rent an apartment but it didn't have a single saucepan, plate, glass, mug, utensil or cutlery item, let alone all the other myriad things which make a house a home, such as toilet brushes and a million other things you take for granted.

To go on the journey from having less than nothing, to re-entering civilised society and having enough money to keep the wolf from the door, has been extremely stressful and exhausting. I'm still in the process of setting up my standing orders and direct debits so that the council tax, TV license, gas, electric, water, sewerage, broadband and all the other various utilities can be paid regularly every month. I'm still in the process of re-stocking the cupboards with all the things that are needed for daily living.

Yes, my situation seems to be rapidly improving, but there's still so much work to do and I'm still a long way from being comfortable and having a financial cushion in case there are any unexpected problems - there are many more sleepless nights ahead.

I don't mean to moan, because I'm very lucky - things have gone my way and finally getting paid some of the money I'm owed today has a big positive impact on my life. I can loosen the purse strings a little, although I still have to be very careful.

There is of course an impulse to go mad now that I'm a bit more financially comfortable, but that's a reaction to the relief I'm feeling, after so many months of having the threat of bankruptcy, homelessness and destitution hanging over me. My main impulse is to draw the curtains and not get out of bed for a month, because I'm so exhausted and emotionally drained after such a horrible rollercoaster ride.

Because of the way I get paid, I'm not expecting another payday for another couple of months. If I can make it to the next payday it'll be a huge milestone and I'll very definitely be on the road to recovery, but I still have a very challenging time ahead of me.

I hope you don't think I'm moaning. It's always a good day when you get paid.

 

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First, Do No Harm

6 min read

This is a story about primary care...

Your GP Cares

Primum non nocere is in and of itself a non sequitur because the use of Latin and other languages of classical antiquity is primarily intended to deter the hoi polloi from becoming educated. The number of doctors who are able to train, qualify and practice, is something that is tightly controlled in order to maintain high salaries - artificial scarcity - as opposed to allowing the unrestricted proliferation of medical knowledge which might improve the health of the nation.

Those who profess the Hippocratic Oath might be able to stay true to the vow they have sworn if they practice the treatment of acute illness in a hospital - dealing with curable disease and injury - but in the treatment of chronic illness in the community, as General Practitioners (GPs), can we say the same?

If we look at a few obvious statistics, we can see that medicine is failing. Average life expectancies have started to fall and chronic illness has seen a dramatic rise. There is an epidemic of mental health problems, and suicide is the biggest killer of men under the age of 45.

Of course, one might say that the root causes of these conditions are non-medical.

It occurred to me that a significant piece of the NHS has already been privatised, in that many general practice surgeries are owned and operated as private profit-making enterprises. This seemed to present a significant conflict of interest, so I decided to conduct an experiment.

I asked a GP a simple question: when you're treating a patient, do you think about their healthcare needs, or do you think about other things? The reply was shocking.

"It's not about [the patient] it's about everybody else"

I'd had my suspicions for a while - gathering plenty of evidence - that those who profess to do no harm might actually have been corrupted into serving other purposes; into betraying their profession and failing in their duty of care. This was the final confirmation that my worst fears were realised, and there are powerful actors within the healthcare system who place other things above the health of their patients.

By co-opting doctors into the capitalist profit-driven sector of the economy, and by co-opting them into the welfare system, we are asking doctors to choose between their luxury cars, the private school fees for their children, and other trimmings associated with their high social status, versus increased taxes to pay for the welfare state. By placing the most vulnerable people in society in front of the doctors, when seeking incapacity benefit, the government is pitting one group against another.

If the study of economics has taught us anything, it's that people respond to financial incentives. While a GP might argue that they're saving valuable taxpayer money, which might be spent on the NHS, by denying incapacity benefit to a vulnerable member of society, one must also admit that the GP acts in rational self-interest. Less money spent supporting society's most vulnerable means a lower tax burden and more money in the pockets of the profiteers, which include GPs who are partners in their practice.

The first principle of do no harm forbids a doctor from weeding out malingerers based on their best guess. To cut off somebody's incapacity benefit is definitely harmful, and there is no diagnostic test which could decide with a high degree of accuracy who is the malingerer and who is genuinely unable to work. If the doctor in question truly cares about their patients, they would have no option but to choose the option which gives most benefit and inflicts least harm.

We see so many suicides because patients are fobbed off with inferior treatment options, because it's a cheaper alternative to give somebody pills than to give them psychological therapy. While I understand that being cost-conscious might be seen as being pragmatic, it again violates the principle of do no harm. To fob a desperate and vulnerable person off with ineffective medication, when better treatment options are available, is tantamount to negligence. If a doctor has a consultation with a man under the age of 45, they must surely be well aware that suicide is the thing that is most likely to cause their death, and they should therefore treat it as a serious threat to their life. To call people's bluff and knowingly prescribe ineffective treatment is obviously the reason why suicide rates are so scandalously high.

I imagine that some doctors - although egotistical and in love with themselves - have a tiny piece of them that wants to make a difference and save lives. I think that exhaustion and the pressures that are felt by ordinary people are imposing themselves on doctors now, who are struggling to send their children to the best private schools (boo hoo) and are feeling compassion fatigued because of burnout. If we can relieve the pressure on GPs, they may become more willing and able to work in support of their patients' needs, as opposed to "everybody else" (read: being the government's job police).

I strongly believe that we have an urgent need to change primary care, so that it becomes not-for-profit, and patient healthcare can become the primary objective. Perhaps profits are not the primary motivator, but money has a corrupting influence which can be clearly seen when you speak to a GP who is/was a partner of a practice. Co-opting healthcare professionals into the job of coercing vulnerable people into bullshit McJobs, where they are exploited by the capitalists, has absolutely nothing to do with healthcare and is most certainly harmful.

I've witnessed first-hand how this care for "everybody else" - instead of patients - has become shorthand for the compassionless, sympathy-lacking, bullying, hectoring and suicide-inducing grotesquely twisted vision of so-called medicine, inflicted on society's most vulnerable people.

If you want to be the job police, and you think that suicides are an acceptable price to pay, so you can feel superior and send your kids to private school, perhaps medicine is not for you.

 

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Alcohol Addiction

7 min read

This is a story about being functional...

Bottles of liquor

In every supermarket, corner shop, convenience store, licensed café, restaurant and in vast numbers of bars, pubs, clubs and other establishments where people gather to spend money and socialise, there is always alcohol on sale. Alcohol is ubiquitous. It's always possible to get cheap booze quickly, wherever you are - you're never further than a short walk and a couple of quid away from intoxication.

The weather in the UK is pretty miserable. We get hardly any snow, and there's only a couple of mountains that have a ski lift - it's quicker and easier for me to fly to France, Austria, Switzerland or Italy, than it is for me to drive all the way to Scotland, where the mountains aren't very high and the snow's really poor. The pleasant months of weather in the UK are May through to September, and the rest of the time it's grey and overcast; drizzly and thoroughly miserable. Our summers are often plagued by rain, although the weather is at least pleasantly warm by British standards, but don't forget your brolly even in August. It's enough to drive anybody to drink.

Our little island is quite overcrowded. The industrial revolution led us to abandon our rural lifestyle and move to the cities, seeking our fortune. Our cramped towns and cities have rows and rows of terraced worker cottages, which are too small to comfortably accomodate a family. As our social fabric disintegrated in the 1960s and 1970s, we built brutalist concrete monstrosities, very similar to Soviet-era blocks, which could house vast numbers of people who serve no useful economic purpose in the age of robotics, technology, automation, IT and the boom of the service industries. The vast majority of Britons are struggling to just-about-manage on god-awful estates, some of which were built by councils as social housing, and others were built by a handful of massive property developers. Estates comprise huge numbers of cheap and nasty houses built on the outskirts of dismal towns, which were already struggling to provide the necessary infrastructure to educate, transport, entertain and look after the health of local residents. We have not scaled well.

Overcrowding has reached such problematic levels, that cities such as London, Bristol and Manchester have no-go areas, where drugs, guns, knives and prostitution are the backbone of their black-market economies. In those areas predominantly populated by people who are considered economically redundant, there is little hope of escaping poverty, except by selling drugs or selling your body. Gangs compete for their turf, and violence is rife.

Meanwhile, we have seen the rise and rise of the bullshit job. While the economically redundant are given a pitiful state handout and left to rot on their council estates, the 'cream of the crop' will be able to study at university and obtain the necessary academic credentials to get a job that's completely unrelated to their field of study, which will mostly involve pointless boring meetings, Excel spreadsheets and a ridiculous volume of emails about absolutely nothing. The service industries produce nothing - no real value to the economy, no productive output - but they account for 85% or more of the so-called economy. Paper gets shuffled around in increasingly elaborate ways of obfuscating the fact that nothing of any importance is being done. Our smartest people are very busy doing nothing... and the smarter ones quickly figure this out and become quite disillusioned with the whole sham.

All of these things contributes to a toxic environment which makes people depressed, demotivated, stressed, anxious, but horribly trapped by their mortgages, car loan repayments. Despite stress and exhaustion, there persists a futile and flawed belief that if we only work hard enough, we'll be able to elevate ourselves from our dismal situation and build a better life for us and our family. When the workers eventually realise that life in the UK is a massive con, and we're going to be stuck in our dead-end job that we hate until the day we die - and our children are going to struggle just as much, if not more - then we need vast quantities of antidepressants, anxiety pills, tranquillisers, sedatives - and alcohol - in order to allow us to ignore the horrible situation and carry on functioning. Our nation is packed full of functional addicts.

Alcohol is used because of its ubiquity. It's self-medication that's available on every street corner. The proportion of the average family budget that gets spent on alcohol, versus food, is quite staggering - alcohol is the glue between the pooh... the only thing that's allowing people to carry on being functional in such a toxic environment; under such a hostile conditions.

Alcohol is the cause of so much obesity, as well as the other health-damage that accompanies its chronic consumption. If we really cared about people's health, we wouldn't bully and hector them to give up their crutches, but we would instead improve the quality of people's lives. If we make the world a less depressing and stressful place, we'll see alcohol consumption levels naturally drop.

I hate that I have to drink, just to get through the working week. I hate that I'm using a really fattening and health-damaging drug to salve my stress, and to help me to cope, but it's freely and readily available without having to see a condescending, patronising and unhelpful doctor, who has no sympathy and compassion for the day-to-day struggles of the proletariat. Doctors enjoy a position of high social status and an income that is many times greater than the average wage - they have no idea what life's like in the real world, for ordinary people - and while my overall experience with doctors has been a mostly positive one, the elites completely fail to grasp the awfulness of life for ordinary people, and fail to sympathise with the plight of the just-about-managing struggling masses.

Our doctors are trained in acute medicine - disease and injury - and are not succeeding at treating the chronic conditions that arise from the current economic climate, which is so toxic to mental health. Instead of lecturing, hectoring and bullying people because they use alcohol, cigarettes, coffee and drugs to be able to cope, our medical community needs to recognise that people are driven to use substances because of their intolerable living conditions. The mental health epidemic and scandalous suicide rates are all the proof we need that the model of medicine which dished out bucketloads of antibiotics is not succeeding in saving lives, when it dishes out bucketloads of antidepressants - clearly it's not working and suicide and mental health problems are the number one public health issue we're facing.

Having access to a fast-acting drug which can help when the stress levels become unbearable - when life becomes unliveable - is vitally important for a society that wishes to treat its people with some degree of sympathy and compassion for their plight... people need something to ease their suffering.

I think alcohol is a terrible drug, and I pity those who have become addicted to it, but it's plain to see the reasons why people drink too much, and it's not that they've got 'addictive personalities' or they lack willpower - it's that their lives are fucking shit and they've got to find a way to cope.

I wish I could quit alcohol, but how would I cope without it?

 

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Without hope, why go on?

6 min read

This is a story about motivation...

King of Bohemia

In a godless universe with no afterlife, if you're not fulfilling the will of your genes and reproducing, what's the point in being alive? We all die and we're all forgotten; everything is meaningless. Entropy will destroy everything that's structured, ordered and regular - we are being systematically destroyed; in the blink of an eye it will be as if we never even existed... all of human history, all civilisations, all buildings, all scientific knowledge, all great men and women, all works of art... it will all be gone.

Replication; reproduction is the force that fights against entropy. While entropy seeks to return everything to a jumbled and unordered chaotic mess, molecules that are mathematically probable to exist turn into more complex hydrocarbons, acids, proteins and all the other building blocks in the primordial soup, from which emerged the first self-replicating entities. Replication is as inevitable as the force that destroys everything that is ordered and regular, and returns it to disorder and chaos. Replication is the yin to entropy's yang.

The fact that you are conscious today, and not at some earlier point in history, is proof that you're the only consciousness in the cosmos. When you die, the universe dies with you too. You are the sole observer of events from your frame of reference, which means that your universe is unique to you. There are lots of other universes that are similar, but you cannot be conscious of those where you are dead, because your consciousness has ceased to exist, or never existed in them - you can only be conscious when you are alive. It's inevitable that there would be many other self-replicating entities in your universe with you, in close proximity, because of the spectacularly improbability of all the circumstances being right to create a consciousness - of course there'd be billions of very similar entities, with all very similar experiences, and all similarly 'conscious'... but your consciousness is unique in your universe, and your universe will end when you do.

If you're fulfilling the will of your genes, you are not conscious, you are merely one of the hundreds of billions of human animals that lived and died before you - unthinking fucking baby-making machines, making yet more beasts which will fuck and make more babies... and so on. You're just a disposable bundle of chemicals that has been used to replicate your genes. You're spent. You're trash. You're a husk; a shell.

In a godless universe with no afterlife, there's no point in anything, so you might as well do whatever you want. It could be a good excuse to live a hedonistic pleasure and sensation-seeking life that will maximise the amount of euphoria that you feel. However, you might sadly discover that you're immortal and find that your morals are completely corrupted. If you believe that the reason for living is to maximise your pleasure, what's to stop you raping and killing, just for fun? What's to stop you from raping the earth for your own pleasure? What's to stop you using and abusing the whole human race, and leaving the surface of the earth scorched and barren, plundered for every single drop of pleasure that you could possibly extract?

Thus, we arrive at a vision of hell: a planet made uninhabitable by an all-powerful immortal overlord who believes in nothing except their own pleasure, and damn the long-term consequences. It's pretty easy to see the evidence for that all around us.

Is there a middle ground?

I like to think that one day I'll be able to quit the rat race and become an artist. You might say that I'm already an artist, because I'm a writer, but the bulk of my time and effort is diverted into very mundane bullshit. My day job exhausts me. The need to pay rent and bills and service debts is a huge stress and a strain; a distraction. I'm completely unable to immerse myself in art, because of the arduous job of simply keeping a roof over my head and putting food on the table.

I've worked very hard during my 21+ year full-time career, and although I've been able to pursue a period of hedonism up to the point where it nearly killed me, I've not been able to ever pursue something I really love and am passionate about. It seems like the opportunity to indulge my passion for art might never be realised - it's somewhat unattainable.

I work, always with the slim hope that through hard work I'll be able to dig myself out of the hole and be able to then follow my dreams, but the realisation of that hope is eternally just out of reach. Hard work just isn't paying off. It doesn't matter how hard I work, and how long I work for... I can never reach my goal.

Why bother? Why bother with the early mornings and the dreadful boredom? Why put up with the stress and the anxiety and the slog of it all? Why put in the effort? Where's it getting me? Where's the payoff?

If life is about the hedonistic pursuit of pleasure, I can do that today and not have to work a single day more. I can end the struggle and return to my hedonistic life. Why bother struggling any more?

However, if life is about following your dream, and ideally pursuing some aesthetic abstract thing, like art, then I don't think I'll ever get there. I think being an artist would be perfect, because it's a change from the relentless pursuit of things that simply consume and exhaust resources, like procreation and hedonism, growth and conquest, business and capitalism, war, slavery and all the other things that inflict untold human misery.

I feel like I should be more comfortable than I am; more able to be an artist; more free.

Why go on? Why struggle anymore?

I'm not sure if I want to kill myself, or if I just need 2 weeks lying on a beach in a hot country.

 

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Career Limiting

5 min read

This is a story about disguise...

SF Trip

Far sooner than I expected, I've reached a point where at least one work colleague has found my blog and I'm also facing the possibility that I might have to undergo further security vetting, which may reveal the double-life that I lead.

I don't really lead a double-life, because my name is plastered all over the pages of the internet and I make no attempt to hide my identity. Nobody asked me about my mental health. Nobody asked me any questions about my rather turbulent ride that brought me to this point. I haven't told any lies, or even been economical with the truth. The truth is that nobody's really cared about what's gone on in my personal life, because I always do a good job and deliver high quality work on time.

I am facing a bit of a difficult decision. I might have to go through a whole load more gatekeepers and submit myself to a load of horrible scrutiny, in order to keep progressing with my career, and to get a bit of security and stability in my life.

I'm loath to delete my Twitter and Facebook accounts and take down my blog, because then I lose one of the most important parts of my life - my digital identity and my personal brand, which I've cultivated for the purpose of what, I don't know... but it's extremely good for staying afloat when my mood has been unstable and my life has been smashed to bits; I've been through some very rough times. Who would I be without all the people who I can stay in contact with via my blog and social media? Who would I be if I just had my job and nothing else? I'd have nothing to fall back on if my day job wasn't going well, for whatever reason.

I work a full day in the office, and then I come home and write. I suppose you'd say that writing is my second job, but in fact I put far more effort and energy into my writing than I do in my day job. I'm not lazy or idle in the office, you have to understand, but it requires so little brain power and creativity. I think it'd drive me nuts to not have a creative outlet which I can plough all my excess effort into.

Things are going well at work. I've been well received by my colleagues and the bosses are pleased; the client is happy. The projects I'm working on are going well and I'm making a useful contribution - I'm an asset to the team.

It seems dumb to take a chance. Surely it's insanity to risk getting sacked, by writing candidly about my mental health problems, and about the difficulties I've had during the last few years. To risk my livelihood; my income - that's nuts, right?

It was too exhausting to live a lie. I tried to cover up the fact that my mood fluctuates up and down. To try to pretend like I'm a perfect corporate drone who can plod along and be a steady eddie was making me sick. Far too much effort was expended by me, trying to shoehorn myself into a job that was made for an unambitious mediocre plodder, who can get up early and go sit at a desk achieving precisely nothing for 45+ years, until they retire. Yes, it's arrogant and primadonna-esque to presume that I'm capable of doing and achieving anything noteworthy, but it doesn't suit my personality at all to get some dog-shit job and then cling onto it with my fingernails for over 4 decades, doing very little. It makes me sick, being held back and thwarted by the plodders. I'm not made for plodding.

Of course, boredom is profitable and it's healthy for me to pace myself. I've found a happy medium at the moment where I work hard in the office, but I leave early every day and I don't take things too seriously - I'm not getting too absorbed in my work. I work to live, not live to work, and that's healthier.

So, I could tear down my digital identity, because it's soon going to become career limiting. Sooner or later somebody's going to take me to one side and say "errr... about your blog...". I'm not going to back down though, because I'm not doing anything wrong - I'm not breaching my code of conduct, acting unprofessionally, talking about anything confidential, risking security, privacy or anything else. All I'm doing is writing truthfully, openly, honestly, transparently and candidly about who I really am about what makes me tick.

It'd be a shame if who I am became career limiting, because I really can do my job, and I can do it really well. I hate that we're asked to pretend to be somebody that we're not, just to conform and earn money and get ahead in our careers. I hate that organisations have that power over us.

 

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Blind

4 min read

This is a story about living on the edge...

Broken blind

Strangely, this broken blind is the only thing that's keeping me safe at the moment. I could replace the blind, but then I'd lose the safety that it gives me. I deliberately chose an apartment with a ground-floor bedroom with terrible blinds, because of the lack of privacy. It's strange, but this lack of privacy - this broken blind - is keeping me safe.

It's been 21 consecutive months since I had a proper holiday. For two consecutive Christmasses I've been with a family that's not my own, which has meant the exhaustion of being on best behaviour, and struggling to adjust to the unique way that those families observe the festive season. Other than that, I've had some long weekends, but not a proper break. A lot of the time in the last 21 months, I've had the threat of bankruptcy, eviction, destitution and homelessness hanging over me. A lot of the time in the last 21 months, I've been recovering from illness, which has seen me hospitalised. A lot of the time in the last 21 months, I've been very sick.

I'm exhausted.

I'm burnt out.

I'm sick and tired of working my bollocks off, being responsible and working hard when I'm too sick to shoulder that burden. I should really have declared bankruptcy and put myself at the mercy of the state, to house me and to give me a pitiful welfare payment so I could buy a few cans of baked beans, and otherwise live like a pauper - at least this torture would've been over.

I left work, I went to the supermarket, I drove home, I washed up, I put some laundry in the washing machine, I tidied up, I put the shopping away, I cleaned the kitchen, I hoovered the carpet. All in a day's work, but I've already done a day's work. I've done 21 consecutive months of work without a proper holiday.

You might not think it's work, being sick, but it's certainly not holiday. You might not think it's work, recovering from illness, but it's certainly not holiday... and it's certainly not restful when you're running out of money and you're worried you're going to be evicted. You might not think it's work, spending Christmas with people you only just met, but it's exhausting to be on best behaviour and minding your manners; making smalltalk with everybody and asking all the right questions that would be expected in polite middle-class company. You might think I've been on a jolly holiday for the last 21 months, but I haven't. I've moved house 4 times, been hospitalised 3 times, been sectioned, had various crisis visits from psychiatrists, doctors, social workers and the like, plus I've been dreadfully sick... both physically and mentally. I've not been having a jolly holiday.

I've had enough. I want to abandon my responsibilities. I want to give up.

I'm exhausted and I want to give up.

The only thing keeping me safe is that blind.

So long as I keep that blind deliberately broken, anybody can spy on me; peek into my world.

If I had perfect privacy I think I'd just give up; I'd relapse. If I thought that I could withdraw into a private world - close the curtains and pretend the world's not there - then I'd do it in a flash because I'm so exhausted and fed up with the relentless never-ending saga of month after month of work, work, work.

I've done well to get to this point, but I'm pretty much spent. Every penny I've earned has gone on rent, bills, interest and living expenses. I feel like I've got very little to show for my efforts, but I do have an apartment, a car, a job, a girlfriend and some new friends. I feel like I've made very little progress, but I've managed to get myself into a good position to start to dig myself out of the hole... but I'm exhausted and I've hit the wall. I'm burnt out; I'm frazzled. I'm a wreck.

That blind is broken and it means I have no privacy. It's a funny thing to keep me safe, but I knew it would. I'm really on a knife-edge though. I could so easily throw everything away and say "fuck it" because I'm just too damn tired to go on.

I'm really at my wits end. I really need a holiday.

 

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Comfort Eating

5 min read

This is a story about getting fat...

Lobster and burger

In December I started a lovely little self-contained project. I flew to Warsaw to gather the requirements from the client and then I flew back to London. I was living in AirBnBs and travelling home to Wales every weekend. I was living out of a suitcase, but it was OK because I was busy getting on with my project.

Then I finished the project.

The project was only supposed to take 6 weeks, but I finished it in 3. I spent another 3 weeks polishing the finished result and adding every bell and whistle I possibly could to create a completely spectacular Rolls-Royce solution, but then the project was well and truly finished and there was nothing left to do.

The team I was working with were based in Warsaw, and I was based in London. I had nobody to even chat to in the office, to while away the hours. I was bored out of my mind. The client was quite happy for me to sit around doing nothing, and he even wanted to extend my contract for a further 6 months beyond the original 3 months, but I was losing my mind with the boredom.

To cope with the boredom, I started to drink. I was drinking heavily. At one point I was drinking 2 bottles of wine a night, every night.

At the start of last September I had a benzo habit that had gotten out of control. I was taking several Valium and Xanax every day, and then a couple of zopiclone and zolpidem at night, plus a whole load of pregabalin. All those medications are GABA agonists, which is to say that they're hypnotic-sedative/tranquilliser type drugs that all act in the same way... very similarly to alcohol. I was physically addicted to those medications and if I stopped taking them then I would have a seizure that might kill me.

By the time I started that project back in December, I had managed to quit the Valium, Xanax and zolpidem. However, I had stopped but then started taking the pregabalin again because I was so stressed out by the travelling and the new job, and the fact I was homeless and rapidly running out of money. The pregabalin soothed my jangled nerves during the day, and the zopiclone helped me to sleep at night. With the combination of those two medications, I was able to limp through that 3-month contract in London.

I drank a lot when I was in London because I was bored and I was withdrawing from the benzos, and I hated the job because I was so isolated and lonely, and I hated the travel and the AirBnBs. I was suicidal A LOT of the time.

Along with the drinking, I got into bad eating habits. I would have fried chicken from KFC and burgers from McDonalds. I would have greasy curries and fatty kebabs. I lived on fast food and vast quantities of wine. I really let myself go, because I hated my life so much and it was so unbearable.

In January I decided that I needed an incentive to quit the London life and base myself in Wales full-time, so I started dating. I met a lovely girl who enjoys eating out, getting takeaways and drinking wine. We've had a great time, eating, drinking and being merry.

Now I'm feeling fat.

My girlfriend and I have stuffed our faces with fine food and wine for the last 3 months, and I'm feeling fat and unfit. I've had a brilliant time, but I've really let myself go. I've stuffed my face without a single ounce of restraint.

There's a canteen at my new workplace, and I stuff my face with chips, burgers, pizza, burritos, pies and numerous other incredibly unhealthy foods, every single lunchtime. Gone are the days of my relatively healthy lunches that I used to have in London. My lunches in Wales are nothing but carbs, carbs and more carbs.

All the money I've earned has so far been spent on living expenses. I'm running out of money, although I should get a much needed cash injection early next week, which can't come soon enough, because it's been really expensive getting myself back on my feet - renting an apartment and buying a car so I can get to work. It's been really stressful, having the threat of bankruptcy hanging over me for so long. It's been so stressful being so short of cash.

Because of the unbearable stress, and the dreadful withdrawal that I've been through from stopping all those highly addictive tranquillisers and sleeping pills, I've been compensating with comfort eating and alcohol. I've been drinking bucketloads and eating far too much. I've put on weight, and I'm depressed about that - it affects my self-esteem.

Hopefully, money will come flooding in next week, and I'm booking a holiday for mid-June, which can't come soon enough, because it's been a ridiculous 21-month slog without a holiday to get to this point, and I still have a month and a half more to go before I finally get a nice break.

I'm using alcohol and food as a crutch, because I'm not taking any medication and I'm not taking any time off work. I'm stressed and exhausted, and the thing that's suffering is my health; my weight; my appearance. It depresses me that I've let myself go, but I've been dealing with more than I can handle. Frankly, it's a miracle that I've made it this far.

So, as if I haven't worked hard enough, I'll need to cut down my drinking, exercise more and eat less. That sucks. At least there's a holiday and summertime on the not-too-distant horizon.

 

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Brain Damage and Personality Change

5 min read

This is a story about neuroplasticity...

Me on the sofa

Who even am I any more? Am I the same person my friends knew 5 years ago, 10 years ago, 15 years ago? Have I changed beyond all recognition?

I suppose change is not important if you're happy with who you are in the present day. I wonder about who I've become. I'm very isolated and I'm so fixated on earning enough money to dig myself out of the hole I got in, that I'm not really making a lot of time for socialising or reconnecting with old friends. I don't speak to anybody on the phone. I don't speak to anybody via email. I only speak to a tiny handful of people via text message. I've got no local social network. There's hardly anybody I'm in regular contact with.

I had a very clear plan for a long time - get out of an abusive relationship, move to London and resume my career in The City. Moving, selling the house and divorce were horribly sabotaged by my ex and made unbearably awful, which derailed me. I ended up stuck in a never-ending nightmare cycle of getting sick, ending up in hospital, recovering, starting to get my life together, and then it all falling to pieces over and over again. I had one good shot at escaping from her, but she ruined it; she ruined me; she ruined my chance.

I woke up in hospital all on my own far more times than I care to remember. I was cut adrift. Nobody came to see me.

Then, a little over a year ago, one of my lovely ex-girlfriends organised a load of support for me when I was in hospital. I had LOTS of visitors and brilliant messages of support. That was amazing. That made such a big difference. That was a turning point.

Recovery is non-linear, and getting my life back on track back in London was impossibly hard. I needed to leave London, which meant a breakup with the aforementioned lovely ex-girlfriend. Nothing about that breakup was done right by me. Nothing about the situation was good. It was a big fat mess. Things got worse before they got better. Things got A LOT worse.

Between the seizures and the coma, I think that my latest suicide attempt reset my brain. I think all those seizures were like a kind of intensive Electro-Convulsive Therapy (ECT) for me. My life certainly started to improve versus the destructive cycle I had been caught in while living in London. When I tried to kill myself, I was hopelessly trapped. My suicide attempt broke me free from something I could never have escaped otherwise.

It's strange: two breakups and a suicide attempt led me to a better life, inadvertently. Through that destruction has come new life and more prosperity; hope.

I'm completing my 21st consecutive month without a proper holiday, and I'm exhausted and stressed, but I get up every morning and I go to work. Whatever's going on with my mental health, I'm very functional. I'm in a healthy happy relationship. I'm getting on well with my colleagues. I'm staying on top of my adult responsibilities - paying my rent & bills, keeping my car road legal, washing, cleaning, laundry, shopping, cooking and all the other stuff that caused me unbearable anxiety and difficulties last year.

I might be somebody completely different, but I'm still somebody. My personality might have completely changed, but I'm still me... just not the me I was in the past. If my work colleagues like me and my girlfriend likes me, and I'm a functional member of society, then what's the problem with me?

I'm paranoid that mental health problems are going to rear their ugly head, but it's been almost 8 months without incident. I don't want to get complacent, but that's a long time to be unmedicated as well as dealing with the horrendous stress of losing your home, losing your job, almost going bankrupt, moving house, moving city, starting two new jobs and everything else to boot. Looking at the evidence, I'd say that I'm one of the most mentally strong and stable people you're ever likely to meet, as opposed to an emotionally unstable lunatic, which you might wrongly presume from some of the stuff that happened before.

I think the lesson is that the brain is a homeostatic organ that's evolved to rapidly adapt to the ever-changing environment. If you trap me in to dreadful circumstances, I'm going to have a dreadful reaction - that's logical and reasonable; that's rational... a sane reaction to an insane world.

I do have my PTSD flashbacks - described as "Tourette's-like" by a close friend - and I do have to be extremely careful with my sleep, diet, stress levels and myriad other things, but my mental health problems are a risk not my destiny.

If I can just keep plodding through life, things will improve. Time is the biggest healer, giving my brain time to adapt.

 

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