This is a story about living with a mood disorder...

Type II Bipolar Disorder took a long time to diagnose, despite a fairly obvious pattern of moods that can be easily traced back to adolescence. Of course, we all have mood fluctuations, but it's the extremity of those moods that qualifies something as a disorder.

I would say that hypomania was the more obvious one of of my pathological moods. Being able to concentrate and work with great intensity, with little sleep & food and a refusal to be diverted from my task, an irritability for distractions, hypersexuality, spending loads of money, risk-taking. Talking seems too slow to express your thoughts... the speed that you're thinking is too fast to explain to anybody else, to put into words. You're just a blur of activity.

It felt like driving with the hand-brake engaged for a lot of my life. I was always waiting for the next slim window of opportunity to work on something that I loved. Whether that was the Design & Technology at school, where there was never enough time to finish what I was working on before the end-of-class bell, or the lego model I was making, before it was mealtime and playtime was over.

Of course, we all have to work within a timetable, and we all have to eat & sleep, but these things always made me feel like I had to rush at everything I did as fast as I possibly could, in the hope that one day, I would complete one of my projects. I also grew incredibly frustrated with the limitations of timetables, mealtimes, bedtimes.

Switching to the world of work, there wasn't actually very much to do. Most people did very little. I ended up searching around for extra things to do.

The computer network at my first full time job ran like an absolute dog. That was because AppleTalk traffic from the office Macs and their printers was polluting the Ethernet traffic from the Sun SparcStations. I managed to talk my friend Lucas into helping me to rewire all the cables one evening.

I wish I could show you the actual images, but we weren't even supposed to be in the server room. This was a Ministry of Defence prime defence contractor with a high level of security clearance. The two junior programmers aren't supposed to go and fix all the networking problems in the office without any authorisation.

The next morning, everybody was commenting how amazingly well the network was running. Lucas & I obviously couldn't claim any credit, because we had acted without authority, but nobody was going to do a witch-hunt when everybody was so pleased that the most major problem affecting everybody in the office had been solved overnight.

That's pretty much how a person with Bipolar Disorder hides out in a corporation. You bumble along, bored, depressed, coming in late, demotivated... and then you suddenly pull something out of the bag that nobody else would risk their career to do, let alone the lack of sleep and unsociable hours.

Bosses seemed to just accept my erratic working patterns, knowing that when there was something that needed doing with an impossible deadline, that's normally around the time I'd wake up and start hacking something together.

It all kind of hung together until I started at a new company in 2008 and the project they were asking me to do was so huge, I didn't know where to begin. I was just entering a depression, which was bad timing. There was also a cultural problem, where their in-house IT staff built everything using Microsoft Excel, and any 'proper' software was built by Oracle consultants or bought off the shelf... but nobody liked those big expensive systems.

My depression got so bad I couldn't even get out of bed or stop crying randomly. I knew I wasn't going to bounce back quickly from that one. After a couple of months I quit that job and started making iPhone games in my back garden. 18 hours a day, 7 days a week. I couldn't go fast enough.

And so began a completely unstructured phase of my life. I would take on a project or interest, completely immerse myself in it for as many hours as I could stay awake, and stay obsessed with that single task until I burnt out. Then I would be depressed, and with no reason to even drag myself out of bed and go and be miserable at work, I would just be depressed all day in bed. I stopped answering my phone. I stopped answering the door. I never opened the curtains.

Being self-employed after 11 or so years of 9 to 5, Monday to Friday structure and routine, is kind of a red rag to a bull, if you have a tendency towards mood instability.

I relished those periods of hypomania. I wrote a series of iPhone games. I built a wooden summer house. I read a huge pile of books on Theoretical Physics and had lengthy email conversations with professors around the world, I wrote a mobile eLearning system and launched it at Learning Technologies conference, I decided that I wanted to be a startup founder and applied for TechStars, I learnt all about Bitcoin, bought Bitcoin miners and started mining in my summer house, I traded Bitcoin for profit, I wrote my own virtual CPU so I could attack algorithms like SHA-256, I started investigating security loopholes in things like internationalised domain names and the Google and Facebook developer platforms.

It's not long before you stray into legal grey areas though, so a lot of my projects have been shelved and I've had to go on raiding missions back to the corporate world, to stay afloat financially. These are normally timed with my hypomania, so a company gets 3 months of incredible productivity, and then a month or two of me being depressed, and then we normally go our separate ways.

My depressions have gotten worse and worse. They seem to last longer, and I've actually started to harm myself more & more. It's strange, when you emerge from a depression and enter a period of hypomania though... you can't remember just how dark those previous days were. There's no rational voice that says "hey! slow down, or else you're going to crash again!". Instead, the voice says "better go as quick as you can, because we know a crash is coming again soon".

So how do we know that depression is the pathological mood at the other pole from my hypomania? Well, I sleep. A lot. Sometimes 16 hours a day. When I'm awake I have very low energy, low motivation. I have no interest in things I'd normally find enjoyable. I don't want to see or speak to anybody. I generally think that everything is pointless, broken, useless, hopeless. Lots of negative memories keep coming into my head, and make me think "I can't believe I said/did that" with extreme regret, embarrassment, shame. I think the world would be better off without me. I start to do pros & cons of living lists, either in my head or written down. I start to think of ways to kill myself, and what affairs I would need to set in order before I committed suicide. This goes on for weeks, months.

I've written before about trying mood stabilisers and antidepressants. The side effects just aren't compatible with good quality of life. You might think that risk to life outweighs quality of life, but it doesn't, especially when you have the waves of hypomania to surf, before crashing onto the rocks of depression.

My body and my mind seems to have decided to adapt itself to this world, to this society, to this environment. We applaud the kid who busts their balls to study for their exams, and can then collapse in a heap during the school holidays. We applaud the employee who pulls the all-nighters and comes in at weekends when work is behind schedule. We applaud the 'overnight success' stories, when an impressive project is unveiled, seemingly created out of thin air, as if by magic. There is no magic. It's just an unsustainable burst of energy, focus, determination, single-mindedness and a touch of madness.

I'd like to go back to the routine I once had, pre-2009. Only I don't seem to be able to retrace my steps, yet. I know the formula that used to work, and a very dear and trusted friend urges me to take a permanent job, and he's probably right to some extent. However, if it all goes horribly wrong again, I would have earned a fraction of what I would have done in a contract.

I'm hoping I can find my little niché. Somewhere I can deliver more value than keeping a seat warm from Monday to Friday. Somewhere where the bosses are more interested in results than headcount in their empire. Pretentious? Moi?

I don't really care whether you think I should cheer the fuck up or calm the fuck down... my moods seem pretty intent on doing whatever they want to do. I've been fully aware of the calamitous consequences of not keeping my mouth shut at the right time, or not getting out of bed and doing some urgent crap. It doesn't really feel like I'm choosing even if it does look like a choice to you, as an outside observer.

This looks like a load of angst-filled teenaged immature self-centred selfish drivel. It probably is. I call it my life.

I'm probably more self-aware than you give me credit for. If you're thinking "oh my God, can you even hear what you're saying? Can you even hear yourself?" the answer is yes, yes I can. I spend a lot of time cringing and wishing things weren't so, and indeed wondering why I'm like a moth to a flame so often. I can see the train wrecks before they happen. I've plotted my mood and activity data, and the patterns are as clear as day. So what?

I'm sure there are days when you'd really like to be a bird, just soaring on the air currents above the ground, looking down on people & buildings. It doesn't matter how badly you want to be a bird. It doesn't matter how rational it seems, to become a bird and just fly right over that traffic jam that's getting in your way, it's not actually possible. That's a bit like those days when I would really like to feel normal. I can want it, but it's not actually possible. Anybody who tells you that you can stop worrying or be happy just by choosing is full of shit. You have my permission to punch them in their smug mouth.

So, I'd say my experiment with abstinence was a failed one. We need a little alcohol to calm our nerves. We need a little caffeine to perk us up. We know when we need it, and most of us know our limits. We're pretty adept creatures at tweaking our own moods. We probably need a pet for a bit of soothing oxytocin. We probably need a girl/boyfriend for a bit of serotonin and a squirt of dopamine. Other than that, we just need something to keep our minds occupied as a distraction from the inevitability of death and decay. Not God though. God is for crazy people.

Anyway, that's my two cents, on my two poles: Type II Bi-polar Disorder.

Tags: #bipolar #mentalhealth #depression #suicide #nhs

This is a story about modern life...

I missed 5 blog posts. 3 people were worried on Facebook, plus my flatmate. My sofa-surfing Kiwi has gone back to NZ.

2 of those people, I met at a hackathon, back in October. When I had to go into hospital a few weeks later, one of these new friends brought me a backpack that contained a set of hand-picked items from around my room, each thoughtfully chosen as something that I would probably need during a week or two in hospital. It felt like Christmas.

When I got really sick over the Xmas/New Year period, my other new friend came and sat on my bed and gave me a hug. He also did loads of my washing, cooked for me, and generally nursed me back to health. The most important thing he did though, was to just be thoroughly lovely. It makes a difference, somebody asking how you are and giving you a hug.

I was in a pretty bad way with muscle wastage and weight loss, having stopped eating for about 2 and a half weeks. Obviously I couldn't impose on my poor friend, with additional burdens, such as extra shopping to carry home, when he was already doing so much that was well above and beyond what any flatmate and friend would do.

Another new friend had become concerned by my lack of blog posts, and had actually come over to my flat on her own initiative. She's a very active person, with a busy life, but it so happened that she was off work... although I doubt that she pictured herself nipping to the Tesco Local for protein shakes, isotonic fluids and anything that had high calorie content. It was so kind and helpful of her that she did.

So, I just received an email from my sister. Apparently she's been getting shit from my parents, because they've read my blog and being the horribly abusive people that they are, they are taking it out their frustration with semi-illiteracy and their almost total exclusion from my life, on my poor sister.

Let's recap what wonderful parents they are, because apparently I've forgotten all the great stuff they did for me:

• Born to a couple of junkies. My mum was a student and my dad was failing to make enough money to support a family by buying and selling junk.
• Grandparents took pity on 3-year-old grandchild and bought them a house. Dad still doesn't have a proper job... too busy taking drugs.
• I spend all my time when I'm not at school in the pub, because my parents still can't afford to support a family, a drug addiction and alcoholism. Alcohol comes first.
• My Dad decides to scale up the junk buying/selling that didn't work before, so I have to leave all my playgroup and primary school friends to move to Oxford
• Between eye patches that I don't need and a yet another girl's bike with a fucking basket on it, I pretty much become the most bullied kid at school. I remember picking gravel out of my back whenever I was 'clotheslined' on the hard play area.
• My mum did take me to London a bunch of times, which was nice. We went to the Science Museum, which got me interested in science.
• Move to a school with a uniform. Turnups and the school blazer (optional) plus carry-over from previous school means the bullying continues. My mum sympathises with the bullies.
• I get a goldfish. He's called Fred. You can't stroke a goldfish. It's a shit pet, but I cry when he dies and make a little gravestone for him.
• Finally get a home computer. Not the Apple Mac like Julian and Joe have, or the PC like Barnaby, Ben, Marcus etc. etc. No... this is the last of the ZX Spectrums ever made
• Have to move school again. Great school. Bullying not quite so bad as there is an unpopular Russian boy and I'm in all the top sets and a good form group... so my parents decide we should move to France
• Some accountant friend of the family takes pity on me and gives me the oldest PC you've ever seen in your life. No software works on it, but that doesn't matter because the monitor is black and white anyway. This is my parents main gift to me: giving me something that's so unbelievably unfit for purpose that I try and try in desperation to make things work.
• Learn to speak French in France. Also didn't make any friends in the UK, and was away from all my other friends. Given the choice, I'd rather have friends than be able to speak French.
• Another new school. Bullying atrocious. Teachers are nice though. One of them takes me sailing after school... like a dad.
• Rather than leave me in a town where I can cycle everywhere and remain with my friends during puberty, we move to the middle of fucking nowhere. I write letters to my friends on floppy disks and post them to them. One friend comes to visit. One. That's it. One.
• Sailing club is good... thanks again to that teacher
• Another start at a new school ruined by the only bike that was capable of tackling the steep hills being a proper mountain bike. One that my dad stole. It was a girls bike. I had to ride past over 1,000 children all congregating on a big long pavement, before going up the steps to the school. My few sailing club friends disowned me.
• I was supposed to be saving up for another new computer, but £10 a week from a paper round doesn't leave a lot of spare money to buy replacement parts for my mountain bike, which gets used at least twice a day on very steep hills
• With a small contribution from me in cash, but absolutely huge in terms of the number of miles I cycled every day on my paper round, my Dad got me my new computer, well after its processor became obsolete. It doesn't have a co-processor or enough memory, but I figure I can upgrade those parts when I get a better job than a paper round.
• My dad bought the shittest, most rotten, neglected boat that looked totally not water-worthy. I restored it, then sold it for a big profit. Can't remember if I paid him back.
• I had a small financial contribution when I bought my 4th and 7th cars. The 7th car was brilliant, but I could have paid for it myself. I think I was only short a few hundred quid, and I was IT contracting so I was raking it in. I can't believe how my parents still say they "bought" me that car. I shall have to dig out the bank statements.
• That's it!

Oh, here are a few things that my parents like to misremember:

• They gave me one of their cars. My mum had crashed it and it had been repaired by a blind man. The thing is, it wasn't a gift. My granny had been saving money since I was really little so that I could get a car and insurance, and I would have easily been able to buy a small engined petrol car, in a low insurance group, with cheap parts... like everybody else my age. Instead, ALL the money had to go on insurance, and the shitty car broke down all the time, and because it was a complicated diesel with expensive parts, it was the world's shittest car for a broke 17 year old.
• Holidays: well, actually these were conferences for my mum, or the shitty dilapidated house in France where I was away from all my friends in the UK. My parents were always pulling me out of school, and sure it was an education and experience, but it was just what my parents wanted to do, with me along in tow. If you were going to do it anyway, it doesn't count as something you did for your kid. The fact we drove past Alton Towers so many times but never went illustrates their mindset perfectly.
• I've cost them a lot of money. Horseshit. I read books from the library or was playing round at friend's houses or somewhere I shouldn't have been. My parents never bought me the correct shoes to not get beaten up. Once I saved up the money from my granny and bought a pair of Nikes. I remember everybody commenting at school for days. I remember wanting to fall asleep just looking at them.
• They lent me money when I was in London. Nope. What they did was not lend me money when I was in London. I needed it in October 2013. Two years late is too late.

Ok, so there are myriad little things, mainly to do with cooking with my mum. My mum is really great. She did try her very best to give me a nice life. She worked hard, paid the mortgage and bankrolled my dad.

I'm trying to think of a nice memory with my dad, but it's all so practical. I was always watching him do DIY or cook but the only thing I think we learned together was when he taught me to read & write. Later, we would change the oil on a car and suchandsuch, but we never did something together, although I was allowed to come along to car boot sales, for example.

My only memory of him really taking an interest in something in my life was when I wanted to do a sponsored mountain bike ride, and I hadn't been doing the big hills for long enough to really travel all the way to the town where the event was being held, and then have much remaining energy to race.

It wasn't much more than a completely lumpy field, with a savagely steep climb, long traverse, descent and then back on the flat to the bottom of the climb again. I had no bottle cage on my bike and I was dressed in jeans, and it was a pretty hot day. People were laughing at this kid in jeans with a touring helmet, no other safety gear, on a girls bike.

When the race started, I left everybody who had "all the gear but no idea" behind. The traverse was quite tricky, especially without toeclips. The descent was suicidal on a fully rigid bike, but I started to lap quite fast.

The more the laps went by, the more of the skilled but unfit riders fell away. The ascent really was a killer in that heat. Anyway, I decided I'd better stop after quite a few laps, because I was feeling really badly dehydrated, and I was sick of getting flies in my eyes.

My dad was gobsmacked. I can't remember where I finished, but from his point of view, I was just lapping everybody over and over and over again. He took me to the bike shop in the nearby town and bought me a pair of clear cycling glasses for the flies, mud and stones, plus a bottle cage and bottle so I could carry a drink with me.

Perhaps if I racked my brains I could think of something else, but getting complemented on my riding, and then him making a further investment - unprompted - to allow me to take my hobby further, was a special moment.

So, my sister's pretty pissed off with me, but I can't understand why. My dad conspired with my wife and my GP to drag me away from my home, my life was dismantled, and the one time in my adult life when I did actually need and want their help - and it had been offered - they reneged on their promise in October 2013, and bang went my best chance to put my life back together in London, thanks to their lies.

I've not really altered the formula, and it's really quite simple:

• Place to live (not a hostel, tent, or shop doorway)
• Job (I'm an IT contractor. Thanks for your offer of [insert low wage job] but it would be uneconomical of me to not focus my search on highly paid contracts)
• Enough money for any cashflow shortfall until the 60+ days it takes before I get paid are done, plus I've absorbed the hit of the 6 weeks deposit, 1 month rent & agent fees
• I'm afraid that I'm so profligate that I replace my suit every 5 years, and my overcoat every 12 yeas. Shoes, I'm afraid I throw away when the shoe repair man laughs in my face. Shirts, I replace when the collar is worn through and it's horribly yellow under the arms.

There are certain things that people in London don't do either:

• They don't walk for 2 or 3 hours. They get the tube. That costs over £5 a day
• They don't bring a thermos flask of coffee into the office. Coffee is a £6 a day habit, but a necessary social visit
• They don't bring a picnic basket, get the blanket out, lay it down on the office floor, sit down and start getting foil-wrapped cucumber sandwiches out. Lunch is a £5 a day habit
• They don't drink much water. Sometimes they drink fizzy drinks. Sometimes they drink a kale, ginger and apple smoothie. Drinks are a £3 a day habit
• They don't have home-brew kegs hidden under their desks. When a Londoner goes for an after work drink, which is pretty much a social necessity, they will spend £5 a pint or more
• They don't work the longest hours in Europe and travel on a packed tube train to then get home, travel back in time, and start making fresh pasta and picking basil leaves in the garden they don't have. Your economy Londoners will buy fresh pasta and pesto, and will even push the boat out for a bit of parmesan: cost £7. Some days, you're at work so late that you might even get a luxury stonebaked pizza sent to the office, or failing that, you'll probably pick up a takeaway on the way home, because you're just going to fall asleep as soon as you've eaten: cost £15.
• They don't live in Zone 99. The zones go 1-2-middle-of-fucking-nowhere-99-100. Yes, it's true that you can save 50p a year on rent by living in Zone 99, but it will cost you over a million pounds for a travel card that goes out that far. It would also be quicker to just get a jet or a helicopter to City Airport if you're that far out.
• They don't all take loads of coke. Yes, it's true that there is some drug taking in the capital, but I bet there are good statistics to show that a far greater percentage of people are on drugs in the provinces, because it's so fucking dull out there.
• They don't fret about saving 7 pence on a loaf of mouldy bread, or consider it profligate to buy popcorn at the cinema, because wages are so much higher and you'll be working too hard to do all the stuff that you have to do to entertain yourself in the provinces on your meagre wage

So, anyway, I've shown my magic formula works. I know what I need to get back into work, routine, friendships and get on an even keel financially, so that I never ever have to explain to a dimwitted out-of-towner why the cost of living initially looks quite high.

However, my sister has a shit job, got pregnant with kid they couldn't afford, went through a divorce, lives in midlands suburbia and generally acts with incredulity that I could maybe have found it a bit stressful trying to re-enter London life on a credit card, living in a hostel.

I had said that my sister & niece were the only thing keeping me alive when I was in hospital. My life is fucked, the cashflow doesn't work, I'm not very well, I still haven't got a contract and there are now further delays. I know what'll happen... I'll get a nice big money contract, but after a month I'll be bankrupt, and my money will still be 30 days away at least. If I take it all out as soon as I can, then it means I'm not maximising my dividends, and it means I have to live on 33% of my income, instead of 100%. That means the stress carries on, month after month after month. But, apparently everybody's an expert in accountancy and cashflow forecasting now.

Apparently one of my sister's friends has it so much harder than me or something. Anyway, they're dead now. I'm just being a martyr or something. According to my sister and parents it's really easy to blag your way into a mental hospital, and slicing lengthways down my forearms with a razor blade was some kind of emotional blackmail, or maybe it was melodramatic... I don't give a shit anymore.

I literally think that you are a grade-A douchecanoe if you have no idea just how hard it has been to survive in London with no parental or state support, when I was completely fucked.

A big part of me says "fuck it". I was a homeless bankrupt drug addict in a park one day, and then you expect it to be all fixed in 5 months because I managed to get a flat, and a job. Then you only choose to help me when I'm hospitalised, suicidal. And then after it's already too late you say it's blackmail.

Fuck you. Fuck you. Fuck you.

Can't be bothered.

Why bother?

You have absolutely no idea how hard it's been to work my way back from the brink and just how carefully I've had to budget, and how cleverly I've done my accounting.

I really didn't want to write another thing about my parents. They're dead to me. But to hear my sister echoing their lies is heartbreaking, and to receive a lengthy message telling me things that are just total bullshit, and saying "I'm sorry, but I don't want to be anywhere near you".

That's just fucking awful. OK, so I've poured out my anger at my parents for forcefully removing me from my own home so my ex could cheat on me, generally backing her up, and then totally fucking me over when they had their chance to make good on something helpful. It's something I have been trying forgive and forget but they're never going to re-enter my life. They have no interest in it anyway. My dad didn't even want to come in my London house and meet my London friends, despite being parked right outside.

My sister says I should ask if I need help. My parents don't do anything until it's too late: I'll either be dead or in hospital.

That's not emotional blackmail. That's getting rid of some worthless cunts from your life.

I'm absolutely heartbroken that my sister has been taken in by their bullshit. We had been talking about her visiting London and her getting a matching semicolon tattoo.

Fuck life

Tags: #parents #childhood #sister #career #london #suicide #depression

This is a story about the willing suspension of disbelief...

People think that beating drug and alcohol abuse is about abstinence, sobriety. It's not.

Are you familiar with experiments where rats were given bottles of water laced with drugs, as well as bottles of clean water and food? In cages that had a placebo, the rats obviously ate, drank, slept and lived until they died of old age. In the cages with heroin in the water, the rats would drink some heroin, fall asleep, wake up, eat, clean themselves, drink some more heroin, sleep some more... until they too died of old age. In the cages with cocaine in the water, the rats would drink and drink and drink from the cocaine laced water, until they died prematurely.

These were barren cages, with nothing to do but drink from a bottle, eat some plain food pellets, or sleep. No other rats to socialise with. Nothing to explore. Nothing to play with. No stimulation. Not really much of a life, even for a rat. What do you think you'd do, behind bars with nothing to do except drink from a bottle?

Did you know that they ran those experiments again, except this time they created Rat Park, which was packed with everything a rat could want from life. There were other rats to socialise with, and have sex with of course. There were tubes and slides and places to hide, and nice bedding and toys. The food was varied and tasty. Of course, there were still two water bottles, one of which was laced with drugs or a placebo.

Do you know what happened? The rats weren't interested in drugs. They were happy in their little ratty lives, and drugs had no place in those happy fulfilled rodenty days.

So what does that tell us about addiction? What do you think would happen if you took away somebody's self-esteem and pushed them out of society? What do you think would happen if you labelled somebody a junkie, a druggie an alkie, and demonised them? What do you think would happen if you mistreated your fellow human, your family member, your partner, your friend? Do you think that would cure them of their addiction?

Rehab is for quitters. Ha ha ha! No, not really. Rehab is a bit of a joke to be honest. The relapse rates are appalling. It's really not working. Do you know why it's not working? Because rehab is the place we send the black sheep of the family to beat themselves up, and to make us clean-living superior people feel better about ourselves.

What's the difference between an addict and a normal person? One puff on a cigarrette, one gulp of tea or coffee, or one sip of liquor.

Yes, it's true that addicts and alcoholics are on a death-spiral downwards that they can't stop on their own. The destruction of their life has begun, and they're going to ride that helter-skelter all the way to rock bottom, unless there is intervention.

Intervention means locking them away from their poison of choice, right? Wrong. Everything in that person's life that caused them to become addicted to drink or drugs is still there. Their environment, their social group, the pressures, the stresses, the broken life that they have... all those things are still there.

Finding the key that unlocks your addictive potential is not easy, luckily, but finding the key that unlocks you from the trap of addiction, that's easy: you just need a life that's better than living on the street in complete destitution, begging and stealing enough money for your next fix, while the whole of society thinks you're a piece of s**t and wouldn't p**s on you if you were on fire.

But that can't be right, can it? Lots of rich people get addicted and die young, and their lives are amazing. Well, let's examine that claim a little more carefully.

Having been down-and-out on the streets of Camden Town, London, it seems apt to talk about Amy Winehouse.

They tried to make me go to rehab but I said, 'No, no, no.'

Yes, I've been black but when I come back you'll know, know, know

I ain't got the time and if my daddy thinks I'm fine

He's tried to make me go to rehab but I won't go, go, go

Everybody wanted her to sing that song. Over and over and over again. Can you imagine that? Being a human jukebox, a human CD player, just performing the same song, over and over and over again.

Imagine being an amazingly talented creative artist, but nobody wants to hear any of your new material, they just want you to stand on stage and repeat the same old s**t, again and again and again.

Dancing bears get driven insane, and will dance and dance, even when they're not performing. How do you think the human psyche is affected by similarly being whipped and cajoled into performing the same act, repeated and repeated and repeated again.

But Amy Winehouse was rich. Tina Turner was rich. I've been relatively rich. How can these rich people complain or get messed up, when they're so rich? Rich people's lives must be amazing. Well, actually, the rich cry too. Rich people need the same emotional sustenance as anybody else. Rich people need to feel fulfilled too, and just being rich doesn't make you feel fulfilled.

It's less of a "how can they be sad" and more of a "how dare they be sad". People are incensed by the fact that they think they want the life of a wealthy person, but they haven't considered the sacrifices that that person has had to make in order to become wealthy. You haven't heard about how hard Michael Jackson and the Williams sisters fathers drove them, for them to attain success, for example? It's well documented.

This could very easily turn into a Monty Python sketch, where I implore you not to donate any money to help save the rich, so I had better re-ground things. The point is, we're all human. Wealth doesn't really touch the soul. Wealth is just a silly made up game that's external to all of us. Sure it seems to control much in our lives, but the really important thing is human connection, and money can't buy you love.

Sure, it's true that money is a major stress factor in most of our lives. I have got less than two months before I'm financially screwed, but it takes 60 days before I get paid on a contract and I don't currently have a contract anyway. Does not compute. Doesn't add up. I'm going to be out on the street whether I work or not.

Surely that's down to self-sabotage? Surely that's down to a lack of planning, of cashflow forecasting? Well, there's only so much you can do. I worked my arse off, got paid a lot of overtime, but it made me very unwell. It's a Catch 22. I can 'sing that popular song' over and over and over again in order to plump up the bank balance, but it makes me sick... literally.

Yes, mental illness is invisible and poorly understood, but you feel it just the same. You feel it in your dark thoughts, you feel it in the pit of your stomach, you feel it when you deliberately hurt yourself to try and let the pain out. Isn't suicide the ultimate in self sabotage?

My days currently consist of lying awake anxiously all night, then sleeping until I force myself to get up and have something to eat, then I try and distract myself from the anxiety until it's time to pretend to go to sleep, but just lie there anxiously all over again. Lovely life, huh?

I started to fantasise last night, not about taking drugs, but about doing a backflip off the 48th floor of a nearby building. I thought about the slow rotation of my body, head over feet, as I accelerated through the air towards the ground. I thought about the collision with the pavement below, and how it would bring instant relief. No more stress. No more anxiety. No more depression. No more isolation. No more demonisation. No more pain.

I then started to think about BASE jumping from up there, and you know what? I started to get stressed. I started to think about getting caught by security. I started to think about having line twists or colliding with a streetlamp or some hard object. I started to think about how much it would hurt, to survive. I got sweaty palms and my pulse started to race, my body became restless. The thought of staying alive, with all this stress and pain and anxiety is not a pleasant one.

That's how people get pushed into addiction. When their life becomes stress and anxiety and depression, and all of their human connection collapses. You're driven inwards by stress and anxiety when nobody is there to help you. When people who care about you start to label you, demonise you and refuse to assist you, you retreat into yourself, you have to be self-reliant and you no longer trust people around you.

I know that all I need to stay alive is the food from soup kitchens and the Hare Krishna, plus my good sleeping bag and my bivouac. Yes, there's a certain amount of pride that stops me from crawling over broken glass back to my parents. I'd rather be homeless and destitute than live with their abuse. Without any self-esteem or identity I might as well just slit my wrists now.

I knew things were going to get tight if I didn't find work right away in November, but I didn't care. I couldn't work. I was exhausted and depressed, and my mood was sinking lower and lower. With retrospect, there was no way that I was ready for another contract. I wouldn't have lasted more than a week.

Now I'm looking down the barrel of financial armageddon, but I can't care. There's literally nothing I can do about it. I'm swamped with stress, anxiety and the feeling that I might as well give up. Where do you think those feelings lead?

What do you think happens when you swamp somebody with anxiety, stress? What do you think happens when somebody has no opportunities? What do you think happens to cornered rats?

The motherf**king cycle continues.

There's my old bike at Silicon Roundabout. I could tap up Tech City for some work, but it's the last bridge left unburnt and I'm definitely not having my finest hour

Tags: #drugs #alcohol #addiction #suicide #depression #career #london

This is a story about repetition ad nauseam...

I have been stuck in a trance, obsessed with the past wrongdoing of a couple of people. I need to draw a line under things and move forward. I know they will be relieved to hear that, and feel that they got away with things and they're off the hook. However, my writing has gotten very repetitive and boring, because I keep labouring the same points. Time to change.

I know it must come across that I'm very stubborn, determined, single-minded. I don't quit, I don't relent, I'm a dog with a bone that I won't let go of. This has taken me fairly far in life, because I've solved problems that other people couldn't. I've achieved things that other people wouldn't, because it just requires too much sacrifice and dedication.

Mucking about with computers is not healthy or normal, and it's certainly not a choice, it's more of an alternative when other routes are barred. Yes, I would love to be part of the gang, part of the crowd sometimes, but I'm clearly odd-one-out. Piggy-in-the middle is fun to tease. Excluding a minority gives you somebody to pick on, to point and laugh at, to make you feel better about yourself. "At least I'm not them, ha ha ha!"

I've retreated inwards as a response to stress and depression. It might seem mad to cut yourself off, but when your general life experience is of loss and people turning on you, then your survival instincts tell you to be self-reliant in dark times. A life lived on Facebook is no life at all, but the virtual world seems more friendly to me than the one where I have lost so many friends.

It takes two to tango, and I know that I've not been a very good friend. I know that I've let friendships go cold, not replied to messages for long periods, not picked up the phone. I can't remember the last time I made or received a phonecall. It must have been over a month ago.

Communication is a strange thing. I remember being able to text message at lightening speed on an old Nokia phone where you had to press the number keys multiple times to get the letter you want. Why didn't I just phone? It would have been quicker.

In a world that has been largely offensive and unpleasant to you, bullying, the protection of a screen is hard to deny. I can compose my thoughts. I can review what I'm about to say. I can edit before I send. I also like the fact that there is a written history of what has been transmitted and received. I find that a lot of people have very poor memory of what has been said, when later quizzed about things.

I find it very frustrating dealing with people who are not honest, straightforward, rational and have a good memory. I'm not sure whether it's drug and alcohol abuse, or simply genetic flaws, but there are definitely people who I find it very frustrating to deal with because of their selective recall of events, and irrational bias that they place on their interpretation of reality.

Everything in the world is fairly clear-cut to me. I try and avoid black & white thinking, but sometimes the blindingly obvious is clearly a polar thing. There is such a thing as right and wrong. All the interpretation and alternative opinion in the world doesn't make a difference when you apply a rational objective analysis of events over the top of things.

You normally get quite a few warnings from me before common sense eventually has to prevail, with me leading the charge. My friend Laurence was driving too fast down country lanes. There was a friend and me as passengers in my hire car. He was jeopardising three lives, plus whoever he was going to have a head on collision with, plus my hire car that he wasn't insured on. I warned him multiple times that I was unhappy, afraid, and that he needed to slow down.

I pulled the handbrake on as hard as I could when we reached a straight piece of road. This seemed very sudden and dangerous to Laurence, but it was quite a calculated act after a good 5+ minutes of me warning him to slow down, and the lanes were getting narrower and narrower, with more and more blind bends. Potentially there wasn't going to be another wide stretch of straight road, before we collided head-on with another vehicle. It was then or never.

Keeping a sliding car on a straight road is not hard. Momentum will carry the car on a straight line. Even if you spin, you're unlikely to do much more than bump off the hedge. More likely, the car will just continue on the original trajectory, because there is so much forward momentum. The back of the car started to slide out, but it really didn't make much of a difference whether Laurence corrected it or not.

Laurence was upset, but his interpretation of events was incorrect. He was speeding down narrow country lanes, round blind bends, uninsured in a car, with two other people he was responsible for, ignoring all reasonable pleas to slow down from the person who was legally in charge of the vehicle. Clear cut. Case closed. No other interpretation necessary.

When I act, it might look sudden and brutal, but a lot of thought has gone into things. My actions are far more premeditated than they look. When I take risks, they're calculated.

Sometimes I can override my own calculations. My friend JP was hanging off a broom handle tied to the roof rafters, suspended several feet above the ground, in order to practice some kiteboarding moves. I said that it looked very dangerous and I thought it was going to snap and drop him onto the hard ground. After he had been successfully doing it for some time, I decided that perhaps I was wrong and I would risk having a go. Of course, it snapped, and I landed on my shoulder, possibly breaking a bone. I now have a lump on my shoulder on that side. I literally have a chip on my shoulder.

However, I'm a balanced person, because I went snowboarding on an indoor slope, tried to do a flip and landed on my shoulder the other side, doing a very similar injury. I now have chips on both shoulders, balancing me out.

You will find me fair and reasonable.

Oh man I miss boardsports. I would love to be kiteboarding or snowboarding right now

Tags: #divorce #parents #friends #childhood #computing #socialmedia

This is a story about captains of industry...

The boy stood on the burning deck whence all but he had fled. Is my task yet done? Rats leave a sinking ship but a skipper will go down with his vessel.

There's just no way you can have a meltdown halfway up a rock climb or a mountain that's higher than a rope's length. You wouldn't be able to lower that person safely down to the ground. There's no way you can have a meltdown in the middle of the sea or ocean. There's no chance of you being harmlessly blown into a tranquil harbour.

If you have experience leading a rope party or skippering a yacht, in the hostile environment of the sea and mountains, then you tend to be quite a stoic, calm, rational individual.

I remember we broached my yacht when I was on the foredeck trying to take the spinnaker down. I was hanging onto the spinnaker pole, with nothing but sea underneath my feet, as we heeled right over on our side. It seemed to take an absolute age for her to right herself. I looked back, and my crew were up to their thighs in water that had flooded the cockpit. I yelled "let go of the spinnaker sheets" and my crew member who was gripping the ropes that held the 'kite' in full sail were still gripped in his white knuckles, and his face was blank with terror. I had to repeat myself several times, and change the tone of my voice, so that he would break from his trance and release the wind, allowing me to then pull the sock down the sail and stow it below decks. It's interesting how people respond to catastrophe and stress.

A whole expedition party that I was in, found ourselves at the top of a large rock buttress, which we had to abseil off. There was a single thin metal piton, hammered into a crack in the rock, as an anchor point for our abseil rope. This piton was clearly bending under the weight of a person abseiling. I wasn't leading that expedition, and I was told to shut up and be quiet, when I whispered my concerns to the leaders. This was a decision motivated purely by money. The leaders didn't want to leave behind valuable equipment, in the interests of safety. You should never belay or abseil on a single anchor point, as my friend Sam was to later find, with tragic consequences.

I'm completely mental, and take some crazy risks, but I don't put other people's lives on the line. When I climbed Crib Goch with friends, I took them to a saddle in the hills beneath the mountain where we could get a good view of the ridge, and I showed them the route I was proposing. I told them it was very challenging, and talked about the exposure to steep drops either side. I told them that we would quite possibly have to retrace our steps, if we couldn't find a suitable gully in which to make our retreat. I shared the information, so that each person could make their own decision about the risks. We were all grown ups.

The sign reads "CAUTION: Route to Crib Goch". The choice to continue up to this knife-edge ridge is yours. You read the sign. You stepped over the stile. You knew what you were doing. Individual responsibility.

Our nanny state is trying to protect people from themselves all the time. We have railings at road crossings, so that you can only cross at one specific place. We have warning signs on hot drinks and for hot water taps, cautioning us that hot water is hot. I'm surprised that we don't yet have laws outlawing running with scissors.

From April, the UK is going to have bizarre legislation in place that attempts to outlaw all drugs except for nicotine, alcohol and caffeine. Does this sound sensible to you? Well, it makes about much sense as banning the sale of parachutes, mountain bikes, horses, skis etc. etc. If you look at the statistics, many sports and hobbies are more dangerous than most of the drugs that are being banned.

Drugs are dangerous, don't get me wrong, but the government concentrates on making things illegal, rather than minimising harm and risk and treating those who do get into trouble. I myself became addicted to a legal high, which was made illegal with absolutely no plans around supporting those addicts who were criminalised. There was no treatment plan or alternative offered to me. I was forced to turn to the black market, and then my own savings in order to get treatment in the private sector. If I hadn't had a pot of savings, I would have been picked up by criminal justice, rather than by national health. That's appalling.

If we were to, say, make mountain climbing illegal because it's dangerous, do you think that would stop people wanting to climb? If the danger didn't discourage people, why the hell do you think laws are going to be any deterrent. The laws are flying in the face of human nature.

Imagine every mountain and cliff in the UK, surrounded by a razor-wire fence, with policemen at the gates and patrolling the perimeter. Perhaps there would be guard towers with powerful searchlights, just in case anybody tried to scale or cut through the fence at night. Perhaps the fence could even be electrified. Does that sound like a sensible plan, for the protection of society?

People talk about drugs causing an increase in crime. Yes, there is a mountain of data showing that alcohol causes monumental problems in society. Anti-social behaviour is rife in town centres across the United Kingdom. Binge drinking is out of control. You don't tend to hear a lot about fights at raves though, do you? Yes, not a lot of anti-social behaviour amongst people who just want to dance, even though they have taken loads of pills. Also, Ecstasy is less dangerous than horse-riding, as Prof. David Nutt once famously commented.

We really do need to end this war on drugs, which is a load of hot air, rhetoric, causing the needless destruction of so many lives. Being tough on drugs is just another way of saying that you're going to chuck your friends and relatives under the wheels of the bus because you're too ignorant to educate yourself about the damage of criminalising somebody, demonising them, excluding them from society, offering them no treatment and generally shaming and isolating them, blaming them for society's ills.

Prohibition puts every man woman and child at risk of slipping and falling into the death-trap of the 'undesirable' bucket. We label drug takers as undesirable members of our society, and push them through the revolving doors of a criminal justice system that makes people unemployable, while also connecting together a criminal underworld that has to survive on its wits, given no lawful alternative.

The police are being forced to make judgement calls about whether to pursue prosecution against members of the public, who have made wayward decisions, but are they really criminals? While we haven't solved violent and sexual crime, and the poverty that drives people to steal, how can we be wrecking people's lives for messing around with recreational drugs?

I bought a yacht at the age of 21, and it cost me a buttload of cash. Boat ownership is a costly addiction. Mooring fees, antifouling, repairs, insurance, fuel... all of this nautical dependency was hazardous to my wealth. Did you know that there is no legal requirement to be qualified to navigate UK waters? I could buy a boat and go and get myself in big trouble in some part of the sea that I'm completely clueless about, and then just phone the coastguard to come and rescue me. Does that not seem a little more anti-social, than a gay man taking poppers in the privacy of his own home?

Perhaps I'm not a very good mascot for the anti-criminalisation movement, because I've most definitely cost the NHS a buttload of cash, as they struggled to put Humpty Dumpty back together again. However, maybe I am. If there was actually a plan to help and treat addicts, my issues could have been resolved before I even got so sick that I ended up needing emergency treatment to save my life. A stitch in time saves 9 and all that.

I think I count 32 stitches in my leg. All those stitches were completely avoidable. It was pure ignorance and stupidity and manipulation by government and media that led to me being cornered and attacked. You're looking for victims? Try taking a look at the early deaths and health complications of people who are marked as black sheep, disowned by their own families, labelled as criminals by a 'justice' system and shunned by society, to the point where sure, the needle seems more of a friend than any of the hostile sneering faces.

Why should alcoholics and addicts have to be anonymous? Why should they have to hide themselves away in groups of their own kind, recounting tales of their own weakness, their faults, their shame and their regret. Why do you refuse to give a homeless person money, because "they'll only spend it on drink/drugs"... yes, they probably will, if that's your attitude.

We're kicking people into the gutter, and I'm not OK with that.

When my friend John had completely ballsed up the interview I had gotten for him, and he was facing the reality that life is a little bit harder than just larking around doing whatever the hell you want, he started to become critical of me. He started to attack me rather than make a critical appraisal of himself and his own choices. It was interesting that he tried to use my prior misdemeanours, that I had told him about in confidence, as a weapon against me. It's amongst the reasons why I chucked him out of my flat.

Addicts are not weak people. In fact they are probably a lot stronger than you, because they not only endure the crushing guilt they place on themselves, but they're also a convenient scapegoat for anybody else who's feeling a bit s**t about their own life. Calling somebody a junkie is a lot easier than admitting that you've failed as a fellow member of society. A junkie's life is no way easy. It's a wall of death, with the addict having to ride faster and faster to stay stuck to the wall, while gravity tries to pull them downwards to their untimely demise, destruction.

There's some stats for you, on your common junkie. 15,000 steps a day on average. That's a lot more than your average couch potato, sitting around reading rubbish newspapers, watching crappy TV and sitting in judgement over groups of people they're totally ignorant about.

Do you see an obese junkie? No. Do junkies drain loads of NHS money by giving themselves diabetes, because of all the sugary drinks and junk food they stuff into their faces? No. Junkies are hard working and resourceful.

How would you rather that resourceful intelligent people spent their time? In the getting and taking of drugs, or perhaps put to some more productive aims and objectives?

We are wasting talent. We are wasting human lives. We are destroying people's dignity. We are robbing people of opportunities to shine and show us the better side of their character. We have untapped resource and we are wasting other resource in locking people up and dealing with preventable consequences of terrible drug policies.

There are good people out there... sheep in wolves clothing. We have tarred people with the junkie brush, and it's a crime to write people off like that.

It's a crime to kick people into the gutter.

Tags: #addiction #drugs #alcohol #nhs #injury

This is a story about rehab...

What's the difference between detox, rehab and inpatient treatment for mental health disorders? Very little actually. Here's my little exposé into being a patient of the UK's most notorious private drug and alcohol abuse treatment provider.

As far as my medical records show, I was admitted to The Priory for treatment for Type II Bipolar Disorder, during an episode of acute illness. My private health insurance picked up the bill and JPMorgan gave me the time and the space to get better. They're a great employer actually.

I had found a local private psychiatrist, as I was running out of ideas for how to deal with my Dual Diagnosis (Bipolar & substance abuse) and I knew that the stats weren't good. Not many people recover from such a death sentence of a diagnosis.

I was very lucky to find the psychiatrist that I did. I had been trying to get in contact with a number of specialists directly, but things were very slow going during the Xmas/New Year period, when a lot of people suffer a big decline due to the bad weather and family pressure to put a jolly face on everything during the holiday season.

I contacted a general psychiatrist at the local private hospital, and he turned out to be one of the nicest, kindest people I could ever have hoped to meet. It was pure relief to meet somebody nonjudgemental who would hear my story without leaping to immediate conclusions. The first time I met him, he simply said "we can only play the cards we are dealt" which had me in floods of tears, as it was the first time that anybody had ever said something so kind to me.

I had been taking quite a kicking from my supposed loved ones - but I'm not going to go into that anymore - and been made to feel very guilty and a total failure for having gotten sick. It should be noted that I became clinically depressed and suicidal before any substance abuse entered the picture. Bipolar symptoms had always been present in my life, but it took a further 2 years to get diagnosed. Then, finally, substance abuse reared its ugly head and became the most pressing issue.

From my point of view, I had struggled for years and years with recurrent suicidal ideation, suicide plans. I have struggled all my life with mood instability. To be simply dumped in a bucket labelled 'lost cause addict' was a bit s**t to be honest, after 30 odd years of reliable good service, despite fairly debilitating mental health problems.

Perhaps I'm complaining too much, making too much of a big thing of my struggles? Yes, yes, yes, there are people who've had it so much harder than me, blah, blah, blah. Ok, unless you've sliced your forearms multiple times, lengthways along your veins, with a razor blade, do me a favour and shut up? Some of my friends are wonderfully supportive and have gone out of their way to learn about mental health problems. Perhaps you could follow their example?

So you think this is attention seeking? Save it for the funeral.

It's true that it's taking me a while to work up the bravery to take the Final Exit. Ending your life is a big deal, and you've got to do it right, otherwise you're just going to end up in hospital in pain.

I've had cans of inert gas to suffocate myself, 2 grams of Potassium Cyanide, enough barbiturates to slip into a coma and drown in my hot tub while unconscious, travelled to the top of tall buildings, cliffs and peered over the edge of high bridges. The most serious attempt I made was trying to open my veins with a razor blade. I must admit though, I was just testing the water. You want to make sure that you open some major veins, like the jugular, if you want to die quickly.

Stupidly, I still have hope and some faith in myself. I should write myself off for dead, like those-who-shall-not-be-named have done.

So it came to pass that I went into The Priory, with a referral to one of the country's leading experts on Bipolar Disorder and Dual Diagnosis. JPMorgan were told that I was experiencing mental health problems (true) but the main objective was for me to detox for 28 days, so that there was a clearer clinical picture, and the treatment of my Bipolar and depression could begin.

That makes me an addict right? Don't need to read the rest of the story. Skip to the end. Case closed.

Well, actually, The Priory and my psychiatrists were concerned with my mental health, and saving my life, not just labelling me as an addict and sticking me into the revolving doors of mistreatment and stigma that those suffering individuals endure. The Priory is actually a private hospital, and cares primarily for those suffering with various mental health disorders that are less controversial and stigmatised than substance abuse. There were ten times as many patients who were there because of depression, anxiety, schizophrenia, borderline personality disorder, eating disorders etc. etc.

It's actually all part and parcel of the same group of problems. One fellow patient had been admitted with mental health issues, but out of some drive to self-destruct, she started filling up a mug with alcohol-based hand sanitising gel and flavouring it with orange squash, and drinking it to get drunk.

One of my fellow patients tried to commit suicide by climbing a high wall and hurling herself off, while I was there. Does it matter if she was being treated for depression, or for substance abuse? The fact of the matter is that she was suicidal at that moment. Mental illness of some kind had driven her to try and take her own life.

There was a game we used to play, when a car used to roll up to the house, and out would step the worried looking family members, dragging some dishevelled son, daughter or partner out of the back seat and into a meeting about admission. We used to try and guess what they would be admitted for. Sometimes it was obvious - if they had red wine all spilt down their clothes for example - but often it was nearly impossible.

But what's it actually like, in private hospital? Are there rock stars and stuff? Well, my doctors had treated a number of high-profile sportsmen and women, but when I was there, there weren't any rock stars. Couple of millionaires but no rock stars.

Really, it's much like an NHS mental hospital, except a little more well appointed. Everything is bolted down and the windows don't open and the doors don't lock. The lights don't dangle down and there are no curtains. Mirror glass is made of plastic, and pictures are screwed to the wall, not hung. Yes, there is quite a lot of anti-hanging thought that has gone into things.

When you arrive, you will hand over your razor, scissors, tweezers, solvent containing toiletries, shoelaces, belt etc. to the nurses to keep at their station. If you want to have a shave you'll have to ask for permission, and you'll only get a short amount of time to attack your face with something sharp.

Plus, it's still a hospital, and people are very sick. One woman said to me "it's OK, your secret is safe with me" and tapped her nose with a knowing wink. It later emerged that she thought I was a royal prince, and that my presence in hospital was a state secret. She also came into my room and stole all my underwear and my books, before the nurses tracked down her hiding place.

The rooms are actually as good as any 3-star hotel, with a writing desk, nice view of the gardens, an OK single bed and an ensuite with no shower curtain or plug (drowning is frowned upon). Once you're off suicide watch, you might get to move to one of the double bedrooms that are further away from the nurse's station.

Other than the slight refinement of having a TV and a telephone in your bedroom, there is little different from NHS mental health treatment. The food was very good, I have to say, but your days are generally structured around morning and afternoon trips to the dispensary hatch for your medications, and being regularly checked on by nurses if you're not in some group activity.

Between art therapy, yoga, mindfulness, music therapy, table tennis, TV, movie night and generally socialising with the other patients, it all sounds like a thoroughly lovely spa break. There was a gym and quite big grounds that one could roam in, provided you told the nurses where you were going and how long you'd be gone for. Leaving the compound within my 28 days was forbidden.

Your partner can come and visit you, and you can give a knowing wink at the nurses station before you have sex, so that nobody barges in on you unannounced. Just don't take too long. Visiting is only on a Sunday, so you'll probably have a sack like Santa anyway. You have to hand over your mobile phone and laptop, and digitally detox, so pornography is hard to come by. Probably because sex addiction is also treated at the hospital.

We should remember that although people talk about 'rehab' we need to be quite clear about the treatment route of substance abuse. There is first a detox. It's necessary to break the body's dependence on substances, and treat the withdrawal. If you are an alcohol or a benzodiazepine abuser, there's a good chance that withdrawal could kill you, so the hospital will put you on tapered medication to get you off those substances. If you are an opiate abuser, you will get very sick from withdrawal symptoms, and these can be attenuated with substitute prescribing or by putting the patient into induced sleep. If you are a stimulant abuser, you will suffer cognitive impairment, exhaustion and suicidal depression.

After detox, which could take the whole 28 days, then comes rehabilitation. Depending on how dysfunctional a person has been, they could need 3 to 6 months of rebuilding their damaged life in a safe environment. Just breaking the cycle of chemical dependency is not enough. There's a reason why a person entered that cycle in the first place. There's a reason why that person stayed in that cycle.

We know that gambling addicts don't inject packs of cards into their veins, so addiction can't just be about chemical substances, can it?

So it was, as my time at The Priory drew to a close, the staff gave me the bad news that my treatment was incomplete. I would need another 3 months of rehab if I wanted to make the changes permanent. I flipped out. I discharged myself, went home for a day. Then I spoke to one of the staff on the phone and decided to go back for the remaining few days of treatment. She-who-shall-not-be-named decided that I had "failed" in my commitment to getting better. That's simply a lack of understanding about the commitment that is needed to support somebody in recovery.

Recovery is not about abstinence, it's about having people who love you trying to support you. Support does not mean hectoring, bullying, nitpicking and generally being obnoxious to a person. Your holier-than-thou drinking and smoking and generally behaving like it's OK to do whatever you want and laughing in the face of the abstainer is not helpful, OK?

Abstinence doesn't even work anyway. It's just a continual reminder of what people want to believe: that you're somehow a bad person, that you're faulty, defective. People want to treat you differently, want to label you. Teetotallers are ridiculed, treated with contempt. Why bother being teetotal?

Certainly, not being a smoker was a problem in hospital. There would be long periods where I was left all on my own, because everybody was outside smoking. There is no real abstinence in the world. I found the nurse's stash of caffeinated coffee in one of the more remote kitchens, and in some hospitals you are even allowed to have caffeinated drinks. 'Addicts' are encouraged to not give up smoking and tea/coffee, because they will need those things as a crutch, during those early days of abstinence.

If you look a little more closely at human behaviour, you will see that people are self medicating in one way or another. You'll see the hypocrites, dosing themselves up with stimulants in the form of caffeine. You'll hear the hypocrites, being hypocritical about addiction inbetween puffs on their cigarette. You'll suffer the hypocrites, swallowing their pills and liquids they have as government sanctioned, medically approved substitute addictions.

I could go to my doctor and get a prescription - called a script in addict parlance - for something to salve my addiction and turn it into something seemingly acceptable in society. It's OK if my pills come in boxes from the pharmacy, with my name printed on them and with a prescription from my GP or psychiatrist?

If I had to go to work at the moment I would probably need some Dexamphetamine, or at least a gallon of super strong black coffee. Because I've used so many stimulants, I can drink heaps of coffee without having the anxiety, palpitations and sweats that you would get, but it's a poor substitute for genuine amphetamines, even if the caffeine molecule is virtually identical.

There's no magic in treatment. There's no magic to recovery. It's just time & space and being treated nicely by people, being respected as a human being.

It's important to respect people.

Just respect people.

Tags: #addiction #alcohol #drugs #suicide #mentalhealth #nhs #bipolar #depression

This is a story about unusual techniques to stay alive...

I once filled up a law firm's email server with pictures of myself. I was quite concerned that I was dying and wanted to get the attention of the family friend who was mediating on a matter that was very stressful - an acrimonious divorce was threatening my life & livelihood. Still, very strange behaviour.

When I was getting completely nonsensical replies via email from somebody, I started CC'ing more and more people, so they could see that none of my questions were being answered and an ulterior motive was being pursued by this other person.

Obviously, letting people know when I was in hospital was a bit 'attention seeking' apparently, but messages of support were gratefully received. I know I still have to reply to quite a few people who were kind enough to reach out, but you can believe me when I say your messages did really make a difference.

There was a guy in London who was going to kill himself, but he decided that if, as he walked along, one person looked him in the eye and smiled at him then he wouldn't go through with it. The urban solitude of London had made him feel invisible, uncared for, alone. Thankfully, somebody did look him in the eye and smile. Human connection is important. Somebody saved that man's life with the simplest of gestures that cost nothing.

Urban solitude is a problem for many new arrivals in the capital. People have their headphones plugged in, reading a book, or their kindle, watching a movie on their tablet or perhaps just idly playing with their phone. Especially in the morning rush-hour, nobody is talking or in any way acknowledging that you're all crammed together like sardines in a stuffy tube carriage, on the way to that job that you all hate, from some far-flung flat that you can barely afford.

Anybody who shops in a town centre is probably expert at avoiding the people with clipboards who "just need a moment of your time" to fill in some survey or sign up to direct debit some regular donation to a particular charity. We have become experts in walking right through people giving out leaflets, who aggressively thrust them into areas of our body near our hands, but yet we avoid actually taking a damn leaflet. We can walk right past the beggar and the Big Issue seller without even acknowledging their existence. 1,000-yard stare, off into the distance, and pretend like you didn't even hear them, didn't even see them.

I was thinking today about the improvements that Frank made to his story he told me, in order to seem like a more worthy cause. He shaved 4 years off his age, and showed me his forearms and asked me to inspect for the track marks of an injecting drugs user. It makes me feel bad that I've told my own story of homelessness, if people are going to dismiss it because of my drug use that I'm being completely honest and open about.

When you meet homeless people, they are often very keen for you to know that drugs and alcohol play no part in their homelessness. To be honest, I was very surprised, when I sat down to have a chat with a homeless person, Matt, underneath the bridge outside Chiswick underground station. Matt was extremely articulate and erudite, and I owe him a big debt of thanks for some of the nuggets of information that were later to serve me well on my own journey through homelessness. I have to admit that although I believed him, I was extremely shocked when he told me he had no drug or alcohol abuse in his past. He was simply p**sed off with the system.

If it looks like I'm dropping all this stuff about getting to know the homeless, and trying to help Frank, into this narrative in order to big myself up as some kind of philanthropist, you're wrong. Actually, I found it fascinating, informative, later useful and certainly helping Frank helped me to avoid dealing with my own life at the time, and feel better about myself. There was no alturism there. It was escapism.

Every fun-run that you go on. Every sponsored walk or abseil, or parachute jump or whatever it is... you probably did it because you wanted to do the activity, to feel part of the event, to feel like you made a difference. Sadly, you didn't, except to your own sense of wellbeing and achievement. Yes, we salve our middle-class guilt by making paltry charity donations and taking part in fundraising. Charity doesn't work. It's failed.

We are arriving now at a situation where we are in the middle of a refugee crisis, a housing crisis, a benefits crisis, a pension crisis, an economic crisis, a mental health epidemic. Cancer, AIDS, Multiple Sclerosis and a heap of other diseases are still rife. Poverty has not been made history by any rock concerts.

I'm absolutely not discouraging you from getting involved with philanthropic work, and if you're a volunteer or you're doing your bit to directly help in the lives of others then I applaud you... not that you want or deserve such condescension. Sorry about that.

Everything's just so damn broken. Life's really not working well for the vast majority of people on Planet Earth.

If you're not part of the solution, you're part of the problem, and I feel very guilty indeed.

Here I am being driven to work through a massive slum in Mumbai from my 7 star hotel. I'm off to help JPMorgan process $1.16qn of Credit Default Swaps, with a team of underpaid Indians who travel for hours on dangerous and overcrowded busses and trains to get to the office. Do you think I was helping this nation of 1.1 billion souls?

I was there in the middle of Ganesh Chaturthi and the monsoon rains. The streets were crammed with trailers with idols and flowers being towed to the sea, with dancing neighbourhood groups beating drums and dancing in the road behind them. The roads are pretty much gridlock anyway, without some gawping tourist of an investment banker sitting in the middle of the chaos with his private driver.

We can feel very special being driven around in the developing world, and living like a king relatively speaking. Many people fall for it. Many people fall for the trick and start believing they actually are special and they deserve their place in the world. That, for me, is where a person can cross the line and stray into narcissism and a sense of entitlement.

Several friends have told me virtually the same story, about thinking they were a hit with the ladies in South Asia or South America, and having 'pulled' a local girlfriend, they were surprised when later asked for cash. Just because you're not obviously in a whorehouse, doesn't mean that you're not participating in prostitution. Just because you're not obviously on a cotton plantation, doesn't mean you're not participating in slavery.

Economic slavery means using your hard currency (Dollar, Sterling, Euro, Yen etc.) in order to buy labour (and all labour's fruits) far more cheaply than you would be able to in a country with a hard currency. You can't get pedalled across a European city in a bicycle rickshaw for less than $1. In London it's £10/minute to be ferried around in this manner, and you can be stung with a £200 bill for a journey that would take 3 minutes by bus.

So, I'm able to sit about on my arse writing the equivalent of two novels all about myself on a blog, peppered with photographs of me. This can only happen at the expense of everybody who grew my food, stitched my clothes and manufactured the expensive laptop on which I type these very words. You could say I'm the ultimate narcissist and profiteer from the hard labour of others.

However, modern life can make you very sick. My friend Klaus often says "it is no measure of health to be well adjusted to a sick society". I think he's right. Just because we are dry and warm and well fed and comfortable here in the UK, doesn't mean that our island is now 'full' and we should 'look after our own'.

We are beginning to pay the price for Imperial aggression and an unwillingness to share. That we don't even redistribute enough wealth to end homelessness and poverty within our own borders, shows just how far we have taken small-minded 'look after number one' attitudes. The tabloid reader's belief that immigrants are not an integral part of our society, is ironic when a great many of Britain's working class are clustered together on sink-hole estates that they can never escape. Nobody from higher social strata would ever have cause to venture into the isolated community of poor white Brits.

Do I think I'm better than those people? Am I above living in a council flat, claiming JSA and integrating with the [not] working class? Actually, I feel rather angry that these people have been manipulated by the media into scapegoating the wrong group of people. It's the moneyed political elite who are the reason for economic inactivity and stressful hand-to-mouth existance of the ordinary British public, not the immigrants and refugees.

Yes, I'm privileged. Yes, I still have some shred of self-esteem. Yes, I'm somewhat conceited in writing so much about myself and plastering photos of me all over it. But am I unaware of my actions? Am I unable to perceive the self-absorption of it all? No.

The fact of the matter is that I just don't want to be trodden underfoot, so I'm yapping like a little dog. I don't want to end up dying young, with everybody wondering what happened and whether they could have helped at all, whether they could have intervened.

Suicide might be a sane response to an insane world, but I do appreciate that it's not a pleasant thing for other people to have to deal with, when you're gone. I've written before about compassion fatigue, and it must be hard when one of your friends or a family member becomes unwell with something so poorly understood as a mental disorder.

Drinking yourself to death, or slowly killing yourself with drugs... these things are clearly part of the spectrum of mental disorders. Substance abuse is just part of a complex picture of declining mental heath that is tightly bound up with prejudice and urban myths.

I had to quit drinking for 101 days, and all drugs and substances for 6 months, in order to be taken seriously. I suffered for my art and my cause: to draw attention to the plight of ordinary human beings who are suffering, not because they are corrupt and immoral, but because our very society is sick, and we are turning our back on our own friends and relatives, because of stupid media bulls**t.

Things have to be pretty bad in somebody's life for them to take a risk with a deadly substance. Things have to be really bad in somebody's life for them to be driven into the arms of a chemical dependency, in preference for choosing life.

Why did I choose not to choose life? Why did I choose something else?

Tags: #drugs #addiction #homeless #frank #career #divorce #politics

This is a story about maintaining a degree of freedom...

Which one of these faces represents your mood? What if there was a pill, powder, liquid or a gas that could take you from a face on the right, to a face on the left? Would you use it?

Apparently 90% of adult Americans drink coffee. That's a pretty amazing statistic, isn't it? Officially, there are 350 million Chinese smokers. That's more than the entire population of the USA. Every weekend, town centres across the United Kingdom are turned into warzones, with huge numbers of binge drinkers, taking themselves to the brink of alcohol poisoning, and even beyond.

That's just the stuff you can buy in shops, over the counter. You can walk down the road, 7 days a week, and purchase coffee, cigarettes and alcohol.

Now let's talk about prescription medications. In Tower Hamlets, the borough of London where I currently live, Prozac (Fluoxetine) prescriptions are rising at 8% per year. London issued 5.21 million Prozac prescriptions last year. Over 20% more Londoners are taking antidepressants than 3 years ago.

So, in all probability, somebody somewhere has got their hooks into you. Either you drink coffee, you smoke, you drink alcoholic drinks, or you take mind-altering prescription medication. You are owned by somebody. A proportion of your wealth and tax dollars are going on mind-bending substances.

The picture above is of a blade that I have managed to remove from a Gillette Fusion razor, and crudely bend into a cutting implement. It's actually pretty tiny, hence why I never noticed that it was still lying on the bathroom floor. However, it's easily big and sharp enough to slice open veins and arteries.

Wouldn't I be better off taking antidepressants, so that my mood doesn't sink so low that I attempt suicide? Wouldn't I be better off in a chemical straightjacket?

Given that I have no fear of homelessness and destitution, why do I need something that artificially props up my mood and allows me to function, when my natural mood is telling me that something is wrong?

What goes up must come down, and for every desired effect of a medication, there are one or more side effects. Often times, people will take a medication for one ailment, and then have to take another medication to compensate for the side effects, and perhaps even some more for further side effects. It's much like the old lady who swallowed the fly, who ends up swallowing a horse.

Ok, so my mood episodes are pretty brutal, but at least I have a clear clinical picture, in medical parlance. It's fairly easy for me and any clinicians to see what my mood is doing, as the water is relatively unmuddied by mind-altering substances.

So what is my mood doing? Well, it's yo-yoing up and down like an insane elevator operator. However, it pretty much follows the instability of my life. 7 or 8 months ago I was homeless, then I was living in a hostel, then I was living with an alcoholic and his unfaithful wife, then I was sofa surfing with a friend, then I was living in hotels during a time when just about every London hotel was booked out for the Rugby World Cup, and then I got a flat.

Jobwise, I had a 9 month contract, and then a 6 month contract. I'm working about 6 months in 12, with the chance to push that up to 9 in 12 if I can get my arse back in gear. It's not a very stable work environment though.

I spent about 15 weeks receiving inpatient treatment in 2014. That really was an annus horribilis. I was in hospital for about 8 days (2 admissions) in 2015. That's quite a big improvement. 2016 remains hospitalisation free, despite some fairly sketchy stuff that probably should have seen me admitted.

But you can't see the other data that I have in front of me. My alcohol consumption, my coffee consumption, my abuse of drugs & medications... all of this is going through a radical transformation too. From regular and massive binges on wine & beer, coffee to prop me up in the mornings, drugs and medication to while away the time inbetween jobs: I've knocked almost all of that on the head. Life is a lot more straightforward when you're not peering through a haze of mind-altering substances.

However, it's a little too straightforward. In terms of stress levels right now, I'd rather give up the responsibility of having a flat, bills to pay, a man to kowtow to. It might be cold and wet and s**tty weather outside right now, but I'd still rather be living in a tent and not looking at a stack of 8 box files full of paperwork I need to deal with.

Seems bizarre, right, to choose to be homeless, destitute? Well, I don't think it's any more insane than working your arse off to pay for your rail season ticket and pay for the mortgage and bills on a house you never get to spend any time in.

Personally, I just feel as though modern life is making me unwell, so I reject as much of it as I can. I do the bare minimum to keep the wheels turning, and otherwise I turn my back on the madness. I try not to be swept along by the current.

I know my mood will change, and I will feel differently about things during a different kind of mood episode. I'm not going to poke and prod at my mind though, and try and coerce it into taking on an altered perception of reality.

Tags: #bipolar #depression #suicide #mentalhealth #nhs

This is a story about self prescribing...

If you know what medication you want, you can cut out the middlemen and just buy it yourself direct from a country that doesn't have a rigid system of prescriptions, provided it's not a controlled substance, and therefore illegal to import.

I wrote about self medication through non-pharmacological mechanisms in a previous blog post entitled Self Medication (Part One) if you wish to refresh your memory.

Going GP -> Psychiatrist -> Pharmacist is actually quite a slow process when you're trying to find a medication that works for you. Also, many medications are only licensed to treat certain illnesses, but there is sometimes a strong body of research that proves they are effective on other illnesses. Because of concerns about medical malpractice lawsuits, it's quite hard to get an 'off label' prescription, even if there is good data to support the use of a particular medication in your individual case.

So it was that I came to be experimenting with medications like Pramipexole (Mirapex), Bupropion (Wellbutrin), Cabergoline (Dostinex), Aripiprazole (Abilify) and even crazy ones like Piribedil (Trivastal). Results were a mixed bag.

The bottom line is this: you probably don't want to f**k with medication. Aripiprazole left me uncontrollably dribbling, and unable to speak without an unintended spray of saliva. Piribedil would cause me to fall asleep randomly, like a narcoleptic.

But, Bupropion works. It's a very effective, fast-acting antidepressant. However, it raises your anxiety levels, causes insomnia, panic attacks and exacerbates hypomania. It's not a good medication for somebody with Bipolar, unopposed by a mood stabiliser.

Messing around with medications was very dangerous, and I may have even put myself at risk of early-onset Parkinson's disease. Certainly, my later messing around with L-DOPA was on a trajectory leading to complete disaster.

It's about harm reduction though. Tea and coffee are on a stimulant continuum that leads to amphetamines and even stronger stimulants. Alcohol is on a depressant continuum that leads to benzodiazepines and even stronger 'downers'. If you have been using coffee & alcohol to self-medicate for your mood fluctuations, you will be driven to seek out stronger alternatives, when those substances no longer work anymore, or face a breakdown.

Eventually, you'll find that heroin is really great to help you sleep, and crystal meth is really great when you need to be awake and get stuff done. You don't want to end up there. Don't go there.

There are modern sleep aids like Zopiclone & Zolpidem, and newer wakefulness and concentration promoting agents like Methylphenidate (Ritalin) and Modafinil. Naturally, I experimented with these.

Ritalin, I found to be very much like cocaine. You want to take more but you're not sure why. You don't really feel like you're getting anything out of it, but you strangely find yourself taking loads of it. Dangerous. Elizabeth Wurtzel wrote a book called More, Now, Again which is amongst the literature that inspires my writing. However, it's simply not possible to snort 60 Ritalin pills, like she claims. That volume of powder will simply not fit into your nasal sinuses. She's right about one thing though: Ritalin is addictive.

Modafinil simply makes you awake, not happy. More time awake, unhappy, is really the very last thing that you want if you're depressed, so I discontinued its use and find no function for this wakefulness promoting agent, personally.

Zolpidem doesn't keep you asleep for long enough to be of any use. Sure, you fall asleep, but then you wake up again and spend the whole night with your usual insomnia. Useless.

Zopiclone works but it's a little too brilliant. Again, for somebody with Bipolar, waking up feeling totally refreshed simply stokes your hypomania to dangerous levels. It delays an inevitable crash, when the drug ceases to be effective at acceptable dosages, and insomnia leads to exhaustion, which leads to depression.

It's all available, out there on both the public internet and the Dark Web. It's a few clicks away for a middle class person with a computer and a postal address.

My parting advice is this: don't go there. Don't even look. Don't tempt yourself. Don't give yourself false hope. Don't experiment. I've done the experiments, and found nothing good there. The side effects just aren't worth it. The downsides outweigh the upsides.

There are no medicinal cures. There are no medications that 'fix' Unipolar Depression and Bipolar. It's an avenue not worth pursuing.

Sorry about that.

Tags: #bipolar #depression #mentalhealth

This is a story about helping people...

Those are some kids from an extremely poor fishing village in Northern Brazil who I gave my surfboard to. Imagine one of them gets really good at surfing, like former Brazilian windsurfing World Champion, Ricardo Campbello. But then imagine if they get a lucrative sponsorship deal and then with their wealth and fame, they get into drugs and die of an overdose. Did I help or did I hinder?

Same dilemma when a friend or relative gets sick. If you help them back to health, they might then go on to do something that they wouldn't have been able to if you'd just let them die. You now feel responsible for their fate. If they do good things, you feel glad and proud of what you did to help them. If they do bad things, you question whether you should have helped them, and not just let them die.

Is that how it works? I don't know. I don't tend to look at people and actions as good and bad. I tend to assume that there is a set of circumstances, an environment, that drives a person's behaviour. I also can't stand by and let things play out. I don't want to play God either, and decide that I know the future, and sit in judgement over anybody. I feel it's my duty to help where I can.

And so it was, I came to be helping Frank, or trying at least, to escape alcoholism and homelessness. A hotel and a hostel that I stuck him in, to get him off the streets, were not exactly thrilled to have him as a guest. But unwittingly, they are part of a larger story that saw Frank go through treatment for alcohol dependency, go teetotal and get a place to live.

For all I know, I may have delayed or detracted from something that was inevitable anyway. I might have actually risked his recovery, for all I know. All I know is that when I met him, he was homeless and a polydrug abuser with an alcohol dependency, as well as numerous other health complaints that were being exacerbated by living on the streets.

Naturally, Frank wanted more than I could give. He wanted me to make all his problems go away. Nobody can do that for somebody else. We're all fighting our own fight at the end of the day, we just need some supporters in our corner. We just need somebody to hold the bucket while we spit blood into it.

So, what's the difference between a lapse, and a fully-blown relapse into drug and/or alcohol abuse? Well, somebody who's had a drink, sobered up and is now telling you "I won't do that again" but has a bottle of vodka in their bag is clearly not very committed to sobriety.

During my recent shenanigans, I hid my little bag of Supercrack. Then I took a load of legal benzos and went to sleep. When I woke up, I considered that I needed to end the binge completely, or risk total relapse, however it was too easy to just go and retrieve my little baggie from its hiding place and continue the whole horrid affair.

It wasn't until I chose to flush the chemicals down the plughole, by my own free will, that I had clearly delimited the episode as a lapse, not a relapse.

Anybody is capable of going on the Internet and following the steps that I did, and then tearing open the postal envelope and snorting the contents inside. Therefore, we share the same addictive potential, you & I. In fact, I'm less of a risk than you, because I have far greater first-hand knowledge and experience of what the negative consequences are. It might take you several months or years before you realise that you're in deep s**t.

So, I'm presently going through a chemical and digital detox. That means that I probably haven't read any blog comments, Facebook comments, Facebook messages, WhatsApp messages or anything that has been sent to me electronically. Sorry about that. I do need those messages and I will get round to reading them and responding. I am extremely grateful that you took the time to send me anything. Please keep reaching out.

I do need your help, and it will make a positive difference. You're not 'enabling' me to continue to do anything naughty/bad, and you're not guilty by association to some future as-yet uncommitted crime spree or whatever it is that holds back those who think they have God-like Minority Report style powers to preordain the future.

I've been a bit of a puppet on a string, but I've managed to sever the ties to those unseen hands, and now I'm just your friend, who is very sick and very tired and very alone and very sad and very vulnerable.

Tags: #frank #homeless #addiction #alcohol #drugs #addiction