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Vindictive

4 min read

This is a story about having a chip on my shoulder...

View out to sea

Seemingly out of nowhere a huge grudge has reared its ugly head. It felt like I'd been biting my tongue for a long time, and sadly it seems like I'd been unable to forgive and forget a big list of transgressions. I don't know why I've been carrying this unhelpful baggage around. I don't know why my own less-than-perfect behaviour doesn't cancel out the occasions which have upset me. I don't know why I haven't been able to resolve problems amicably. However, I blew up; I got mad. A huge tsunami of anger hit me and I've raged about all the stuff that's been bothering me for a long time, which I'd bottled up.

Every time I censor my blog, it's a huge mistake.

My blog is where I come to write, as a coping mechanism for some awful stuff that I've been through. My blog is a healthy coping mechanism, when so many others would resort to drugs & alcohol, or perhaps be driven mad by the torment of their suffering. My blog has been miraculously therapeutic at getting me through so many episodes of relapse, hospitalisation, homelessness, lost jobs, near-bankruptcy and other financial distress, and very difficult struggles with drink, drugs and mental health problems. I depend on my blog. To be denied the opportunity to write freely has dire consequences.

It was a huge mistake to censor my blog.

I took down a blog post as a goodwill gesture. It was a mistake. There was nothing in the blog post that was offensive or in any way problematic.

I had days of hell where I had absolutely no idea what was wrong with what I'd written. I had days of hell where there was an impending confrontation linked to somebody who had quite routinely tormented me and had been very aggressive. I thought things got resolved, but my Twitter was later examined with a fine-tooth comb and the unpleasant and extremely stressful confrontation - far worse than I had been expecting or prepared for - was completely pointless because the goodwill gesture achieved nothing. In fact, deleting my blog post and then being unable to write because I had no idea what was problematic with it, was incredibly disruptive and ultimately futile; pointless.

Unintentionally, the dam burst and I wrote about all the things that had been bothering me, but I wrote in a way that was stoked up by the unpleasant nasty confrontation and the censorship of my blog. It was a stressful and confusing situation, and ultimately it was utterly pointless - I should never have censored my blog or attempted reconciliation. As a result, things have come out with a lot more anger than I'd have liked. Things have come out a lot more forcefully than I'd have liked.

I can totally understand why I was Tweeting so desperately, having gone through 4 sleepless nights and had nothing to go on except an abusive phonecall... plus all the other unpleasant stuff that had gone before, of course. What had gone before could perhaps have been shrugged off as "a clash of personalities" but ended up crystallising into the firm belief that I didn't want anything more to do with a person who'd caused me a great deal of distress. I don't want to make things personal. I don't want to take someone to pieces and destroy them on social media and on my blog. What you have to understand is that this blog is my coping mechanism - this is where I come when I'm hurting, to work stuff out.

I'd like to stop being bitter, angry and vindictive, but I know that this fire's gonna burn for far longer than I want. I really want a clean break; a fresh start. I really want to move on. I want to forget all about the whole dismal episode.

I may end up re-writing the original blog post that I deleted, and publishing it in its edited form, as some kind of closure.

Publish or perish.

You have to understand that's why I write: because it's a life-or-death situation.

 

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Emotional Instability

6 min read

This is a story about borderline personality disorder (BPD)...

Bipolar diagnosis section

If you've ever wondered about being detained against your will in a mental hospital - on a locked psych ward - then this is how it all begins... a 'section'. Being 'sectioned' means you're being legally detained under a section of the Mental Health Act (1983). The police can section you for 24 hours under section 136 of the Mental Health Act. After an initial assessment you might be sectioned for 28 days, under section 2. If you're assessed again you might be sectioned for 6 months, which is section 3. As you can see above I was sectioned under section 2.

I've been diagnosed and treated by 13 different psychiatrists. I've spent 10 weeks under lock & key on psych wards and a total of 18 weeks as an inpatient, receiving treatment for my mental health problems.

All the psychiatrists agree: I have bipolar disorder.

One unqualified doctor has been so bold as to ignore the fact that they completely failed their psychiatric long case, and ignore the fact they're utterly incompetent when it comes to making a sound mental health diagnosis. This unqualified doctor apparently read a book about borderline personality disorder and then tried to diagnose me, despite their obvious shortcomings and prior failures in the area of mental health. That pissed me off. That idiot doctor ignored all the years of evidence and the unanimous opinion of 13 specialist highly experienced and fully qualified psychiatric doctors, because their ego is over-inflated, and frankly, they're a bit of an idiot arsehole.

So. I have bipolar disorder. That's beyond question - it's been confirmed and reconfirmed. I've had a second opinion. I've had a third, fourth, fifth, sixth, seventh, eighth, ninth, tenth, eleventh, twelfth and thirteenth opinion.

I did not ask for a fourteenth opinion.

In fact, I made it expressly clear that I DID NOT WANT another opinion... especially one from an unqualified doctor who skim-read the first few pages of a book. Especially an opinion from somebody who I think lacks empathy and compassion for vulnerable people. People with mental health problems aren't safe around that unqualified doctor, who doesn't seem to have taken on board the fact that they failed their psychiatric long-case and are therefore unqualified to be practicing psychiatric medicine.

Furthermore, when we are thinking about a borderline personality disorder diagnosis we have to consider co-morbidity.

If a person is under a great deal of stress due to housing, job, finances, relationship and other external influences, it is not possible to diagnose borderline personality disorder, because of the co-morbid adjustment disorder. Adjustment disorder is just a fancy way of saying "your life is hell right now". Naturally, it's not possible to unpick mental health problems from the stress and anxiety that anybody would be feeling when their life's in tatters.

Just as a little reminder... I'd been through a breakup with my girlfriend, had to leave my apartment in London, move to Manchester, start a new job, I broke up with another girlfriend, tried to kill myself, lost my job, lost my apartment in Manchester, moved to Wales to live with strangers, ran out of money, got another job, went to Warsaw, went back to London and ran out of money again. That is more than enough stress to give anybody adjustment disorder, making any new diagnosis impossible. There is too much co-morbidity.

Also, when alcohol and drug abuse are co-morbid, diagnosis is impossible. This does present a bit of a paradox, because alcohol and drug abuse are quite often present in cases of borderline personality disorder, but they are also very often present in bipolar disorder too. There's a specific diagnosis for that co-morbidity: dual-diagnosis.

I know a lot about dual diagnosis because I spent 4 weeks in hospital seeing the country's leading specialist almost every day, and I continued to speak to that specialist regularly for a long time after I was discharged from hospital. While substance abuse was a problem in my life, my diagnosis was quite clear: dual-diagnosis (bipolar disorder & substance abuse disorder).

Finally, we must consider loss of status.

There are excellent data showing that loss of social status causes emotional instability. If you think about it, it's pretty obvious. Imagine that you lost your wife, your kids, your job, your house, your car, all your money, the respect of your friends & family... do you think your self-esteem would be intact? Do you think you'd be fine with that and you'd be carrying on with your life like normal? Of course you'd be emotionally unstable - it's a normal human reaction to that devastating loss of social status. You can't just say "it's just stuff" because it's not - it's intrinsic to your identity and your sense of wellbeing.

It's not possible to diagnose borderline personality disorder - also known as emotionally unstable personality disorder (EUPD) - when there are concrete and undeniable external factors that would contribute to a person's loss of self-esteem, social status and consequently make them emotionally unstable. It's simply not an appropriate diagnosis for somebody whose whole life has collapsed and is in ruins.

The arrogance of Dr Death to attempt to give an unwanted and unqualified fourteenth opinion, ignoring the unanimous verdict of thirteen highly qualified and experienced specialist doctors, is highly offensive and antagonising. This opinion was aggressively thrust upon me when I made my wishes crystal clear: "do not diagnose me, Dr Death, because your opinion is worthless unqualified irritating tosh that will only upset and anger me". The fact that Dr Death proceeded to do what the f**k they wanted anyway only serves to further prove how arrogant and lacking in any compassion they are... this is a person who's not even my doctor.

So, please don't play pretend-psychiatrist and give me your amateur diagnosis... I've spent 10 years in and out of the mental health system, and I've done extensive research of my own. Shove your crackpot theories about me up your ass.

I dearly wanted to get to the point where I've been symptom-free and medication-free for long enough to declare I'm 'cured' but for now I reluctantly accept the opinion of 13 very experienced and qualified specialist psychiatrists, who are experts in their field and highly respected. I accept their opinion - that I have bipolar disorder - and I reject f**king idiots who skim-read a few pages of a book and hardly know me. F**k off Dr Death.

I was disappointed to learn that I probably have type 1 bipolar disorder, not the milder type 2 that I thought I had, but I've had 6 months without medication and without an episode, so I seem to be managing the illness very well, especially considering the fact that I've moved 4 times, been in hospital twice, attempted suicide once, had 3 jobs, been through 3 countries, bought a car, narrowly escaped bankruptcy three times and finally managed to rent a new apartment and have a healthy happy relationship with a lovely girl. I mean... sheesh... that level of stress would send anybody insane, wouldn't it?

So...

I have bipolar disorder. That's it.

 

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Sobriety-Induced Insomnia

3 min read

This is a story about nodding off...

Sleeping under a kite

I was expecting my alcohol-free week to pay dividends, but it's not [yet]. I've had three awful nights of sleep and I've been struggling to keep my eyes open at work during the afternoons. My body clock is all screwed up - I'm struggling to get out of bed in the mornings and I'm struggling to get to sleep at night. The only variable is the alcohol, so I know that my sobriety is to blame.

I'm strict with my bedtime and mealtimes. I dim the lights and avoid using my laptop and smartphone in the evenings. I'm doing all the right things but I'm tired and I'm getting more tired by the day, because I'm not sleeping very well at night.

I've noticed an improvement in terms of weight gain already - my trousers had been feeling a little tight. Alcohol piles on the pounds because it's so calorific. I think it's worth having a break from booze for the benefit of my liver and waistline.

I think I'm having bouts of depression and anxiety as a result of abruptly cutting my alcohol consumption to zero. I keep thinking that I'm bored at work and that I should walk out and go home, because I can't stand sitting around twiddling my thumbs. I keep feeling depressed about the fact that I'm months away from financial security. I feel like I can't yet afford to take a holiday - I need to earn every penny I can to dig myself out of the hole and get myself into a strong situation.

My situation is pretty damn good really. I'm managing to get up and get to work nice and early. I'm making it through the working week without too much struggle. My finances are improving. The weather is improving. I have a lovely home. I'm sure I'll feel a lot better after a restful laid-back weekend watching TV while I lie on the sofa. It'll be great to have some weeks without any stress or disruption, to really get into a good routine.

I took a big gamble in making a big change, by stopping drinking so abruptly. I was sensible when I made all the other big changes, like tapering slowly off various medications, but it was really hard. By stopping drinking suddenly I've risked nasty side effects, which I'm very much experiencing right now. I'm sure my body and brain will be very grateful for having a break from booze, but right now I'm exhausted... I'm not feeling the benefit yet.

I guess things always get worse before they get better.

 

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Alcohol as an Anxiolytic

4 min read

This is a story about self-medicating for anxiety with wine...

Recycling

I keep my empty wine bottles behind the kitchen dustbin. The collection of bottles waiting to be recycled has grown very quickly, given that I've been polishing off at least a bottle of wine every day for months. Wine has been my unhealthy coping mechanism. Wine has helped me to get through 4 solid months of work, living out of a suitcase, dating, courting, buying a car, renting an apartment, moving home, two different jobs, three different countries, 12 AirBnBs and countless other anxiety-creating things.

It should be noted that during the last 4 months, I also quit a neuropathic painkiller called pregabalin, and a sleeping pill called zopiclone. The net result of quitting those medications was a vicious rise in my anxiety levels, as a result of the rebound from stopping taking them: withdrawal syndrome. It's hard enough to get off pregabalin and zopiclone under normal circumstances, let alone when you have huge upheaval and stress in your life.

A little over 6 months ago, I quit diazepam and alprazolam, which are both anxiety medications. They're better known as Valium and Xanax. They're highly addictive, and stopping them can cause a discontinuation (withdrawal) syndrome that can last for months and create unbearable anxiety levels.

So, the circumstances have created a hell of a lot of anxiety... a ridiculous amount of anxiety.

Alcohol has helped me to wean off the addictive medications and become medication-free. Alcohol has helped me to cope during incredibly stressful times. Alcohol has been my anxiety medication, during a time when my stress and anxiety levels would be unbearable for even the toughest person.

The ubiquity of alcohol is about the only good thing that can be said of it. Alcohol's effects are short-lived. Alcohol is a poor sleep aid. Alcohol is very unhealthy. However, it's not desirable to take benzodiazepines, Z-drugs and painkillers on a long-term basis, because they all quickly build tolerance and require a bigger and bigger dose to be effective. Valium also has a very long half-life, so you are affected by it 24 hours a day once it reaches a steady concentration in your bloodstream. At least with alcohol, you sober up pretty fast when you stop drinking.

The body's ability to eliminate alcohol is very impressive. Tonight is my third night without a drink and I've suffered no ill effects from abruptly stopping my daily boozing. It would be expected that I might get the shakes or something, given my chronic self-administration of large quantities of alcohol over a long period, but that's simply not the case - I just stopped and I'm fine.

My sleep was a little disturbed last night. My body and brain are re-adjusting to life without copious amounts of wine being tipped down my throat. I'm not feeling the benefits, and if anything I'm feeling a little worse than I was when I was drinking every day. That's to be expected: my body's repairing itself. The booze has been very hard on my body.

I've gained weight and I just feel unhealthy from a winter of misery, where I drank vast quantities of wine. I really need a mini-detox. I thought about having a sober April, but I don't see the point. Drinking in moderation is what I'm aiming to do, so I'll have a little break and then I'll try to drink less.

Having a break from drinking is important, because I need to get into better drinking habits now that the shitstorm of stress has passed. There was no way that I was going to be able to do anything healthy while I was still heavily dependent on alcohol as a crutch, during a really horrible period of my life, but now things are improving and my life is a lot more manageable.

Perhaps I'm one of the lucky ones who can take it or leave it. Perhaps I'm just normal - I'll use whatever's available and my behaviour is dictated by my environment. During stressful times of course I'm going to hit the bottle. During happier times, of course I'm able to make healthier lifestyle choices. Seems obvious, doesn't it?

So, alcohol's not great, but it's not all bad either. It helped me get to where I've got to today.

 

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You are Only One Platitude Away From a Good Mood

5 min read

This is a story about diminishing a person's struggles...

Book cover

Oh if only life was as simple as "snap out of it" or "think positive". If only life was as easy as sending out good vibes to the universe to make good things happen. If only it was possible to alter our own moods entirely at will. Why would anybody want to be depressed? Why would anybody want to be stressed, anxious and/or suicidal? It doesn't make any sense.

Life's more complicated than the trite soundbites that are designed to stick in your head when you read a self-help book or watch a video of a motivational speaker. Yes, you might get inspired to make meaningful change in your life that could ultimately be helpful, but you've still got a miserable job that you hate, money worries, and all the unresolved insecurities that you carry around with you all the time. There are no quick fixes. There's no book you can read, video you can watch, website you can click on, alternative therapy or A-N-Y-T-H-I-N-G that will give you the instant relief that you crave. Sorry about that.

The biggest thing that you can do to make yourself feel better is to cut toxic people out of your life, get a better job and become richer, get secure housing, and myriad other practical things to resolve your day-to-day stress. Of course, all those things are easier said than done and they'll take time and effort. Life is also a damnsight easier if you're already rich and you possess considerable advantages over the struggling masses.

When you're chronically sick with an invisible illness, every man and his dog will have a quack cure that they'll be absolutely certain will help you, and they'll be personally offended if you don't immediately drop to your knees and praise them as some sort of god for telling you their idea - an idea that you've head a million times before. "YOGA!" "KALE SMOOTHIES" "MARATHON RUNNING" "KISS A WHALE" "HUMAN SACRIFICE" "DANCE THREE TIMES AROUND A YEW TREE AT MIDNIGHT ON A FULL MOON" etc. etc.

It gets really boring.

Then comes the victim blaming.

When people get frustrated that you're not accepting their advice that most definitely would instantly cure you, then they start saying that you want to be sick; that you're choosing to be sick; that your illness is part of your identity and you don't want to let it go, because you need it. That's really super offensive.

It can be really exhausting having to politely fend off the relentless barrage of supposedly well-meant - the old "their heart's in the right place" excuse - unsolicited advice, which actually requires a lot of gentle, tactful and skilful social navigation to basically say "your quack cures are completely useless and please stop pushing this unhelpful crap on me". Then, when the advice-giver finally cottons on to the fact that you're not going to immediately rush off to a yoga class on the strength of their conviction that it'll be instantly curative, they start to blame the victim. "You don't actually want to be cured, do you? If you wanted to be cured you'd rush straight off to yoga, right now" etc. etc.

Humans are superstitious creatures. Whatever we happened to be doing at the time when something nice happens to us, tends to be adopted into a ritual; a ceremony. We wear our lucky underpants when we're going to a sports game or trying to get laid. We are spiritual because we make false correlations between prayer and seemingly having our prayers answered (spoiler: that thing that happened was going to happen anyway). We worship at the temple of alternative medicine, where we believe that healers of various descriptions have cured us, when science tells us in no uncertain terms that at least 80% of the time things would've gotten better anyway. We worship charlatans, snake-oil salesmen, preachers, healers, life coaches, motivational speakers, self-help book authors and a whole parade of other people who seek to profit from human misery, stupidity and superstition.

In a world where living standards are improving, sooner or later everyone's going to get their lucky break. However, in a world of declining living standards we've got to cut the crap. With the mental health epidemic raging out of control, we can't continue to allow convenient and comforting bullcrap to usurp the truth and harsh reality. Sadly, it's hard damn work to overcome an invisible illness and find a way to cope with life.

Whether it's doing 10,000 steps a day for a month, giving up alcohol for a month, writing 1,667 words every day for a month, going to the gym every day for a month, giving up dairy for a month or whatever it is... you'll feel better. The reason you'll feel better is you're doing a hard thing. You'll feel a sense of achievement, no matter what it is that you're doing, because you'll find it gets easier in the end. You're creating a habit. You're creating structure and routine. You can look back with pride at how far you've come.

So, don't suffer the boastful "why don't you exercise more and be skinny and beautiful, like me?" smugness that's much more about the ego of the advice-giver, than it is about your wellbeing. Advice like that is given for the benefit of the giver, not the receiver. Don't stand for it. Don't accept it. It's unhelpful.

Yes, there are people out there who have superstitious beliefs. They believe that the reasons why they're rich and successful are because they got up at dawn and thrashed themselves with nettles, or they got up at dawn and prayed to a sky monster or they got up at dawn and drank a gallon of kale smoothie or whatever the feck it is, but it was hard and it was unpleasant. They're just superstitious idiots. Ignore them.

 

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One Two Skip a Few

2 min read

This is a story about daily routine...

Succulent

I'm a little superstitious. When you've been on the journey that I've been on you can start to have some pretty strange ideas about what makes the difference between success and failure. If I'd ever been so afraid and desperate that I'd turned to religion you can be pretty sure that I'd now believe that the sky monster is responsible for the improvement in my situation. If I'd sold my soul to the devil then I'd be Beelzebub's biggest fan right now. It's easy to attribute credit to the wrong things when you're in a desperate situation.

Should I credit my veganism? Should I credit giving up sugar? Should I credit drinking 2 litres of water every day? Should I credit jogging? Should I credit yoga? Should I credit mindfulness? Should I credit antidepressants? Should I credit mood stabilisers? Should I credit a faith healer? Should I credit acupuncture? Should I credit homeopathy? Should I credit quitting alcohol? Should I credit my voyage of self-discovery? Should I credit being single for years? Should I credit my vow of celibacy? Should I credit my vow of silence? Should I credit any of the myriad charlatans who claim that they have the cure for the agony of human existence?

I'm writing today because I'm superstitious. I believe that I've got to write every day, because my daily writing habit provides stability in my life. Who are you to say I'm wrong? You probably believe in sky monsters or have weird eating habits. You're just as superstitious as me. You're just as much of a creature of habit.

I'm not going to write much because I'm busy. I'm having quite a nice time at the moment. I'm stressed as hell that something's going to go wrong - such as my attempt to rent a place to live failing spectacularly - but perhaps that's because things are going OK and I'm a little paranoid. I'm loathe to change anything. I'm loathe to stop doing something that I've been doing regularly, because I've become a little superstitious.

I take a photo of the plant on my desk every single day. Routines are awesome.

 

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Mother's Day

5 min read

This is a story about thankless tasks...

White rose

If you wanted a companion animal, you should've gotten a dog. If you wanted unconditional love from your dependent, you should've gotten a dog. If you expected to get more out than you put in, you should've gotten a dog.

Children are not dogs. Children can't be trained to be obedient creatures that adore their owners. Children don't owe their parents anything. Respect is earned. Trust is earned. If you want to be loved, love. The arrow of responsibility is clear - parents are responsible for their children, but not vice-versa. Parents make a selfish decision to bring children into existence, without their permission. Existence is agonising. Unless you can give your children the opportunity to do anything they want and fulfil their potential, what the fuck are you doing creating more mouths to feed on this overcrowded planet? To inflict the agony of existence onto an innocent child is a sin. To bring kids into the world when you care more about your studies, your career, your sex life, your drugs, your alcohol, your cigarettes.... what the actual fuck?

I'm an antinatalist. "There's never a right time to have children" - you're damn straight there isn't. Take a look around. Poverty and suffering is rife and living standards are declining. The reason why you were in two minds about getting an abortion is because you know that you should have done. You should have used birth control. Children aren't accidents. We're not primative beasts. We know where babies come from and how to prevent pregnancy. We know how to terminate unwanted pregnancies. Children know when they're unwanted. Children are receptive little sponges, who pick up on all those subtle hints that they've somehow made life more stressful and unpleasant. Children didn't ask to be born.

"What if my child becomes the next Mozart or Einstein?" some mothers might ask. There's a presumption that by choosing not to have children, we might be depriving society of potential geniuses. The truth is that 99.99999% of children will be useless fucktards, tormented by the agony of existence and a total waste of oxygen. The truth is that it's a very flimsy excuse for inflicting existence onto an innocent child, to argue that it's a contribution to society.

There are very good data to suggest that abortions have been hugely beneficial for society. When birth control and abortions became more commonplace in the 1960s and 1970s we saw a huge fall in crime rates 15 or 20 years later. We know that lower birth rates lead to more advanced civilisations. If you consider yourself to be educated and intelligent, you should make the smart choice and not have children, because it's immoral to eject these unfortunate creatures from your vagina into the present harsh reality. The world is a shitty place and it's getting shittier by the day. It would be better not to exist.

If you want a companion animal, get a dog.

Even getting a dog is pretty cruel. Dogs are hungry all the time, bored, and we cut their balls off and cut out their ovaries. Dogs are enslaved for our enjoyment, sitting at home all day in their crates (i.e. cages) waiting for us to return home, patiently waiting for a bit of attention. The life of a child is worse, because a human has greater intellect. A human can better perceive their own suffering. Existence is agony.

If you've got kids, fine, whatever. You did your thing. Whatever. Don't expect me to fucking congratulate on doing what every ancestor of yours did, back to the time when life first sprung into existence. Don't expect a fucking medal for acting just like every other stupid beast that ever existed. There are no medals for acting like slime mould or an amoeba. There are no medals for procreation - it was inevitable that you were going to spread, like bacteria or a parasite; it was inevitable that you were going to act like lichen or moss, or any other kind of fucking brainless organism. No medal.

Being a mother is a thankless task because no thanks are owed. There's no debt. There's nothing to be thankful for. You didn't do anything, except that which every ancestor of yours did back to the first replicating organism that ever existed. No thanks for simply being are owed.

It's harsh, but it's true. I have no reverence for mothers, fathers, parents or any other replicating individual. There's nothing special. There's nothing to be celebrated. There's nothing, except what is demonstrably inevitable given the universal laws of physics and evolutionary biology. I'm sure dads are pretty chuffed that they managed to get somebody pregnant and they've passed on their genes to some unfortunate offspring, but don't ask the children to be grateful. Existence is agony. Existence is a curse.

This is super bitter and aggressive, but this is the fact of the matter. Existence is a curse. No thanks are due. If you had a shred of morality, you wouldn't inflict existence on the innocent. If you had a shred of moral decency, you wouldn't perpetuate the suffering.

Yes, children bring joy. Yes, children have moments of happiness. The point is though, do they owe you any thanks? Are children inheriting a world they're going to be able to have a nice life in? Perhaps there would be thanks due if living standards were improving, but they aren't. All that awaits is a life of indentured servitude. All that awaits is climate change, economic collapse, housing crises, pensions crises, debt crises and all the other problems that have been stored up for the younger generations; the childless.

It's immoral to just hope for the best, when the evidence is quite clear - the world's a fucked up miserable place. Thanks for nothing.

 

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Comorbidity

10 min read

This is a story about a sick man...

Psychiatrist letter

I didn't drink last night or tonight. I've stopped taking sleeping pills. I've stopped taking anxiety medication. I've stopped taking tranquillisers. I've stopped taking sedatives. I don't take antidepressants. I feel very unwell.

I woke up and I thought about getting some rope and going to find a tree to hang myself from. I've not really thought about hanging much, but it's been on my mind. I think about a last minute change of heart, where I might try to take the weight off the noose, but it would be futile - I would try and I would fail. I think about the uncomfortable final couple of minutes, where I'd be panicking as the hypercapnic alarm response would make me thrash around, trying to get air into my lungs. Hanging would be a brutal way to die, because I imagine that I'd be conscious for quite a lot of it, then I'd lose control of my bowels and some poor sod would find me strung up with soiled underwear. Somebody would have to cut down my lifeless body. Anyway, that seemed like one of the options this morning.

This should be a happy period of my life. I'm not homeless, I have friends, a girlfriend, money and a car. I'm not a drug addict. I'm highly employable. I have my physical health, mostly. I've got a local job which is very well paid.

What's going on? Why am I so depressed?

I'm trapped. I can't go backwards. I can't stay still. I can't go forwards. I need to keep moving forwards, but I've run out of rope; I'm at my wits end.

I should have taken some time off in-between the last job and the new one, but that's not the way things worked out. Make hay while the sun shines, they say. Don't look a gift horse in the mouth, they say. Somebody opened a briefcase of money, tempting me with it, and it seemed like a good idea at the time. It is a good idea. It's a really good idea to have a really well paid job that's a short distance away from where you live. The problem is, I've got nothing left to give.

I can't fail. I can't falter. I have to succeed. I can't go back. I can't stand still.

I'm so desperate to feel better, but I know that the answer doesn't lie in pills. I know that to take antidepressants would send me manic. I know that pills aren't the answer. I'd love to feel a bit better though. My bank balance would love me to feel a bit better. It'd be nice if I didn't keep writing things that worry and upset my friends and girlfriend. Such is life. These are the cards I've been dealt.

What's important to me? It seems like it's all about work and money, but that's a good place to start. Without work and money there can be no future. Without a future there's nothing to hope for - I might as well just give up. This is the strange situation, where work is making me unwell, but without work I'll get unwell because I'll get into financial difficulties and I'll have nothing to look forward to except bankruptcy.

Just a little bit longer... if I can just work for a little bit longer...

How much money did I lose in January and February to ill health? Was it £10,000? What does it matter? I worked as hard as I could.

I've managed to buy a car. I've managed to get a local job. I've got a girlfriend. I've got some money in the bank. These are major milestones; major achievements. Things are looking up in my life.

I need to impress some new people; prove myself. I've got a new routine to get into. I've got a load of new stuff to learn, and not the fun kind of learning - this is stuff I'm expected to know already. I've got to give a good first impression - I can't turn up to work hours late every day; I can't let on that I'm not very well.

I'm sick but I can't afford to be. I'm sick but there's too much at stake. I'm sick but I don't want to lose the amazing opportunity that's fallen in my lap. I'm sick but my life looks perfect in a lot of ways - why am I sick?

I don't want to accept that I'm sick but the anxiety and depression are unbearable. It's enough to drive me to drink, drugs and/or suicide. I want to run away from the source of stress. I want to hide under the duvet for a couple of months. I need to recover but I can't - there's too much work to do. I need time off but I can't afford to lose everything.

I'm the epitome of functional. I'm getting up and doing the things I need to do, even though it's destroying me. Somehow I keep putting one foot in front of the other. Somehow the things that need to happen keep happening. I'm keeping the plates spinning even though I'm sick. At times, I'm quite happy and contented. At times I'm a picture of good health and carefree joy.

I've worked hard - even if you don't think I have - to give myself some easier times. I've put up with horrible situations because I knew they'd pay off in the end. There has to be some reward, otherwise it wouldn't have been worth the stress and aggravation at all. It would be a lie to say that my life is purely miserable. Misery kind of stalks me though - I know it lurks just around the corner at all times.

"Cheer up... it might never happen!" somebody might say, but I really wish it would happen, because I can't stand the constant anxiety. I can't stand the fact that it is happening, and I know exactly how long it's going to keep on happening for because it's not very difficult to work out such things. I know exactly what to expect. I know exactly the way things are going to go. I know exactly what has to be done. I know exactly how awful it's going to be.

My mood would be a lot better if I could abandon all responsibilities and follow my mood. I know that time passes incredibly slowly when I'm having to kill time and suffer horrible periods with nothing to do at work. I know that it's incredibly toxic to my mental health to be solving the same problems I've done a million times before, but with a load of constraints that artificially limit me from being able to work and occupy myself - to keep myself busy. I know that isolation - working alone - is really unbearable. The last place on earth I should be right now is twiddling my thumbs, bored but chained to a desk with nothing to do and nobody to talk to.

I'm going through a difficult transitionary period. I should have taken some time off. I'm emotionally exhausted. I'm trying to switch mindset, from the isolation of the last job to the possibilities of a new opportunity. I know that I need to give it a few days, or a couple of weeks, to get settled.

Everything's so stressful and unsettled. I've got a new commute to get used to. Somehow, I've got even less of a home than I did when I was living in AirBnBs. I can't get changed. I can't have a shower. I can't take a shit. I can't make myself something to eat. How did I end up like this, with a stressful job and no place to call my own... no bedroom; no privacy. It sounds ungrateful, but it's just a description of my current situation, at times. It could be worse, perhaps - I could be homeless; destitute. I could be additionally isolated and lonely, living alone. It could be worse... it could be worse... it could be worse. There is gratitude, but there is also a heap of stress and anxiety that's beyond what I can cope with. I am grateful, but I'm also struggling.

What do I want? Do I want everything to be perfect right now? Do I want easy solutions, like swallowing pills? Do I think somebody should gift me everything I need, all wrapped up with a bow? Do I expect somebody to just give me the keys to a place of my own and wave a magic wand to move all my stuff? What about friends? Should I just snap my fingers whenever I need them, and snap them again when I don't want them around?

I don't know about any of this stuff. All I know is that I woke up and I thought about finding some rope and a tree to hang myself. I thought about walking out of the perfect opportunity that's fallen in my lap. I thought about letting everything go to hell in a handcart, because I've reached the end of my tether. I don't know why I think this stuff. Maybe I'm a bad person. Maybe I'm an ungrateful little shit. Maybe I should just fuck off and die.

I don't know what I'm going to do. I'm going to have another alcohol and sleeping-pill free night and hope that these awful feelings subside. I'm going to hope for a better day tomorrow. I'm going to grab my black holdall and take the show on the road.

I'm sick, but do I have to be? I think I know where the problems are. I think I know the solutions. I know that nothing's going to be perfect. I know that life is full of compromises. All I can think to do is to keep trying to set things up so that the very least number of things are causing me distress. I keep reducing the number of things that are unpleasant and broken, in the hope that at some point things start becoming a bit easier, because at the moment there are too many times when life's unbearable.

Maybe I need to quit drinking. Maybe I need a drink. I don't know. Too much change and too much that's unsettling. I've lived out of a suitcase for far too long.

Yes, underlying mental health problems are the obvious thing to point to, but what's the solution? Of course the little bit of me that's got some survival instinct left thinks that being medicated up to the eyeballs, living in a council house, supported living or institution is preferable to death. Is being alive without dignity or hope preferable to this life that's a fate worse than death? Isn't it all the same anyway? If the rewards aren't there and the suffering is unbearable, why bother?

I managed half a day in my new local job, and I felt sick, sick, sick.

Maybe tomorrow will be better. If it's not, I don't know if I can carry on.

 

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Rock Bottom

7 min read

This is a story about quality of life...

Warchalking

You would have thought that rock bottom would come when you're sleeping rough, arrested by the police, thrown into a cell, you've spent all your money on drugs, you've got a physical dependency, you end up hospitalised or locked on a psych ward. You would have thought that losing your job, your apartment and tarnishing your otherwise squeaky clean CV, credit score and other things that are important to give you access to well-paid respectable work, would be the most crushing blow. In fact it's the lead-up to the point where you lose everything that's far worse. Once you're cut adrift and tossed by the wind and the waves, then you might as well just relax and go with the flow.

I woke up this morning, having been awake since 3am, worrying about the tricky transition between two contracts that are worth six figures, annually. It's a nice problem to have, right, to have two companies offering to pay you big fat wads of cash for your time and expertise, but the reality is somewhat more complicated.

I've drained my business bank account, because I've needed to buy plane tickets, book hotel rooms, train tickets and AirBnB rooms. I've been working for three months, but I'm still waiting to be paid - these are the commercial challenges I face. You've got to speculate to accumulate.

I have borrowing facilities available to me, but a substantial portion of my income is wasted on interest, paying for the money which I've needed for cashflow. Cashflow is tight when you're only managing to work 12 weeks a year, because you've been so unwell. I was hospitalised with DVT and both my kidneys had failed. I was hospitalised after a massive overdose - a suicide attempt. I was hospitalised and sectioned for mental health reasons, for my own protection. These are considerable obstacles to earning money, despite the fact that I discharged myself from hospital against medical advice, so that I could struggle into the office and not lose my job... but I lost it anyway. After my suicide attempt I struggled into the office, but I lost my job anyway.

I'm struggling into the office every day. I'm working Tuesday to Friday, for 4 hours each afternoon. My colleagues look at me like I'm taking the piss, as I saunter in at lunchtime and leave soon after 5pm. I travel across the country on a Tuesday morning, and I travel back the other way on a Friday evening - over 3 hours each way, which some people might scoff at. I know that there are many people who do long commutes, but I doubt many of them do them in the same year they were hospitalised as many times as I've been, due to medical emergencies.

This is my rock bottom - I'm only able to work about 16 hours a week, but it's killing me. I woke up this morning and I'm properly physically sick. If it hadn't been for the fact that I had to check out of my AirBnB, I would have stayed in bed. You'd have stayed in bed too, if you felt like I do. This is rock bottom - struggling along and barely managing to survive, even if you think that my situation is not very desperate.

I'm quite qualified to tell you what's desperate and what's not, because I've slept rough on the streets; I've lived in 14-bed hostel dorms and psych ward dorms. It's not a competition. Either you accept that I know what rock bottom looks like, or you don't.

What you can't see - because you only look at the good bits - is how quickly my life could unravel. I've got no safety net; I've got no cushion. My life hangs by a few slender threads. Of course I accept that I've had a run of good luck, such that I haven't ended up bankrupt and sleeping rough again. Of course I accept that I've had a run of good luck that there are still opportunities available to me; there's still a slim chance that I might rescue myself from my desperate situation.

There's an infantile attitude that I have to constantly suffer, like life is simple and all I need to do is get a job stacking shelves in a supermarket. You don't understand how real life works. You're not acknowledging reality. In reality we can't just abandon all responsibility and pretend like it's not psychologically destructive to lose hope; to have our dreams shattered. Loss of status and having a black mark against your name is a big deal. Being chased by debt collectors and bailiffs is a big deal. Having court summonses and court judgements and being sued into oblivion is a big deal. Getting fines and charges and all the other things that get slapped onto a poor person whose life is imploding, is a big deal. Real life... REAL LIFE involves earning as much money as you can, so that you don't have to take a calculator with you to the supermarket and ration out the value-price beans. Your infantile fantasies that we can just abandon everything that society holds dear - bank accounts and credit checks - and instantly switch our lives to be free and easy... this is complete and utter horse shit.

The reality of life is that there's a great deal of precarity. It might not look like it, but I've worked very hard to get myself back on my feet and I'm still a long way off. It might not look like it, but I couldn't have put in any more effort; I couldn't have handled any more stress - it's enough to give the most stable and secure person that you know a massive nervous breakdown. Eventually, we all reach our breaking point. We can't tolerate mental torture forever.

I've got my 3+ hour train journey, then a night in one place, a night in another, a night somewhere else, then it's back on the train, back to my job, time to check into yet another AirBnB I've never set foot in before. I need to buy two birthday presents, get a haircut. I need to do some washing. None of this is beyond the wit of man, but I'm so mentally and physically sick that I need to spend at least a week in bed, but I can't. I've got to keep the plates spinning.

Yes there are parents out there who are stressed out of their minds. Yes there are starving Africans. Fuck the fuck off. You think I've only got nice problems to have? You think my life is rainbows and puppy dogs and candy floss? Fuck the fuck off.

This is my rock bottom, because I want to throw everything away. It's too much effort. It's too much stress. It's causing too much anxiety. It's too exhausting. You think what I do is easy? If it's so fucking easy why isn't everyone doing it? If it's so easy, why aren't more people bouncing back from divorce, losing their home, drug addiction, alcoholism, bankruptcy, trouble with the police, mental health problems, suicide attempts, physical health problems and all the other things that bury people? Why aren't more people pulling themselves up by their bootstraps and getting themselves back on their feet?

It feels like I'm really close to a breakthrough, and that's what makes it so hard. All the time I'm thinking "it's only another 6 weeks, 3 months, 6 months... until I'm all fixed up and back to health, wealth and prosperity". It seems like it's no time at all, but that's because you're an idiot. You just don't understand how the shortest possible time can feel like an eternity, when you're in agony; when you're in such distress.

So close but yet so far.

 

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The Relentless Manipulation of my Moods Using Every Means at my Disposal

9 min read

This is a story about music...

Out clubbing

The only things that seem to be capable of making me cry at the moment are Disney movies and a 90-second passage from The Tempest, which is about dreams and sleep. I quote it now for your interest, and as I write this big salty tears are rolling down my cheeks:

Our revels now are ended. These our actors,
As I foretold you, were all spirits and
Are melted into air, into thin air: 
And, like the baseless fabric of this vision, 
The cloud-capp'd towers, the gorgeous palaces, 
The solemn temples, the great globe itself,
Ye all which it inherit, shall dissolve
And, like this insubstantial pageant faded, 
Leave not a rack behind. We are such stuff 
As dreams are made on, and our little life 
Is rounded with a sleep.

It seems remarkable to me that I'm not able to resist the mawkish and emotionally manipulative thrust of the Disney movies, and I blub in all the right places and even some of the wrong ones. To accuse me of being emotionally unstable or having a tendency towards inappropriate emotional responses to situations, is grossly inaccurate and untrue. I would agree that I'm unguarded; trusting... a little vulnerable and certainly quite naïve, although I would argue that I prefer to be naïve than cynical and guarded.

In terms of protecting myself from whimsically falling in love and getting hurt, I would say that I don't protect myself at all. My emotions go where they want to go and I let them. I use the "L" word very sparingly and tend to distrust strong emotions, viewing them as transient; fleeting. I favour loyalty above everything else. I've got no time for game playing and wimpy wusses who are afraid of getting hurt.

Under a railway arch in Vauxhall, I experienced what the children of doting parents must experience their whole lives - to be loved, cared for; adored. I felt a sense of contentment and security that had been absent throughout my bullied childhood. I felt the warm embrace - the hug, if you like - that had been absent in my life and had turned me into an insecure person who completely lacked self-confidence and a sense of identity. I'd been through 8 schools and lost countless friends due to my druggie alkie loser parents not giving a shit about the damage they were doing. The experience of clubbing under the railway arches was curative - this was the love that had been sorely absent in my life. The catalyst? MDMA.

Fifteen years later, my marriage was collapsing. I needed to go to hospital. I was admitted to The Priory thanks to my private health insurance.

It's actually unremarkable that I grew out of a brief period where I dabbled with recreational drugs - ecstasy - and went on to have a 15-year blemish-free career, before the stress of a toxic and abusive relationship tipped me back into the very state I was in when I was a child: in desperate need of some unconditional love. It seems obvious that depriving a person of their identity and security, and bullying them, would result in trauma and psychological damage. It seems obvious that the same negative stimuli would elicit the same negative response.

While I was in The Priory, I handed in my iPod after a couple of weeks. I had decided that I was using music as a way of manipulating my moods, in a similar manner to people drinking, smoking and using drugs, in response to stress and other negative situations. I decided that if I was going to take treatment seriously, I would have to avoid things which I could use and abuse to alter my mood.

Presently, we seem to think it's virtuous to deny ourselves all the things we enjoy. Cream cakes (too fatty), fizzy drinks (too much sugar), beer and wine (alcoholic), masturbation ("wanker", "tosser" etc.), spending money (too fun) and all the other things that make life mildly bearable are given up for January, while we run on a treadmill in a gym, or lash ourselves with a bunch of nettles or whatever the f**k it is that 'virtuous' people do these days.

When I was seized with the notion that pure devotion to a 'natural' life would lead to happier, healthier times, it became as obsessive as anything else that might be characterised as an addiction. I became addicted to making every single tiny health tweak in my life that I could. I cut out dairy and gluten. I washed out my sinuses with saline. I probably would have done colonic irrigation if I'd thought about it at the time. The whole thing was dumb - pure superstition and pseudoscience.

Today, I take dietary supplements - 5-HTP, tyrosine and magnesium - which are supposed to provide my brain with the building blocks it needs to restore normal mood and improve my sleep. However, I've also abused simple amino acids and even pure dopamine - in the form of L-DOPA - to put my brain into a completely unnatural state, with the intention of achieving an otherwise unattainable euphoria or level of performance.

I've abused stimulants to stay awake and give me the energy to dance all night. I've used prolactin-suppressing medications to allow me to have multiple orgasms. I've used erectile dysfunction medications to allow me to sustain an erection for priapic lengths of time. I've used drugs to move my mood up, down and sideways - attempting to 'play god' if you like.

How many drugs and medications have I tried? Two hundred? Three hundred? More? This is not hyperbole - I had the time, the money, the determination and the means.

If you think I'm an idiot who makes bad choices, I ask you to look again. Imagine what my upbringing was like before I discovered that there was this chemical - MDMA - that unlocked me from that miserable prison. Of course I was going to mistakenly believe that it was a trick that could be repeated. In my desperation to escape a toxic abusive relationship 15 years later, I tried heroin, crack and crystal meth - amongst innumerable others - and none of them grabbed me. I methodically worked my way through everything I could get my hands on - illegal drugs, legal highs and black-market prescription medications.

The net result was not a predictable one. Instead of being dead in a ditch due to poly-substance abuse, I'm now quite averse to any psychoactive substances. I'm one of the few people you know who doesn't drink caffeinated beverages. That I'm unmedicated for my mental health problems is not because I think I'm "well" but because I know that I prefer to suffer the symptoms - very few people you know are prepared to tolerate depression and anxiety, but I do so on a daily basis without medication to assist me.

There's a part of me that wants to quit carbs, quit booze and join a gym, but frankly I've got enough shit on my plate just trying to get up in the mornings and not kill myself.

I loosened the purse strings and bought a few new clothes at the weekend. I went on a couple of dates. I'm listening to euphoric dance music, eating what I want to eat and drinking quite a lot. Fuck it. Life's too short to be miserable.

Last night, a woman ran up behind me as I was crossing the road and started asking for money. I said "sorry". She launched into an escalating level of abuse, accusing me of saying "no" and for toying her when she was "begging [for my] help". She was too busy yelling and screaming horrible names at me to be interested in the fact that I would've helped her, absolutely. In fact I still would. Fuck it, even if she was just rattling for "B and white" (heroin and crack, also known as "dark and light") and she was short for the score, I'd have helped. You've got to acknowledge the complexities of life and human nature if you want to help anybody. Expecting everybody to be gym-going, kale-eating, alcohol and drug free totally fucking ridiculously 'virtuous' people is absurd. Most of us have a vice.

When I think about how long I lived without my cat to stroke, and without the pleasure of snuggling with a girl I'm really into, I'm surprised I made it this far. What's the point of life without a good healthy dose of oxytocin? Is life even liveable without the bonding hormone? I really don't think it is.

So, as we approach the end of Jinxed January, I'm throwing caution to the wind little by little. I'm buying myself new clothes and having a haircut, because it's great for my self-esteem. I'm dating and having sex because it's fucking awesome. I'm letting myself do a million little things that just make my day a little bit more bearable, because that's what life's all about if you don't want it to be suicidal misery.

There's a chance that all the little changes in my life will destabilise me. It's all quite stressful, even if it's also fun. I'm quite well aware that something as simple as a late night can throw my world into quite a lot of chaos, but sod it, life's too short and I've waited and been sensible for long enough.

I don't think I'm going to go clubbing and take any MDMA any time soon though.

 

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