This is a story about setting a good example...

If you take drugs in front of your children, you are a sh1t parent. Period. No ifs. No buts.

If you are high on drugs, drunk or otherwise intoxicated, stoned, coming down, craving drugs or generally in a f**ked up state because you are abusing drugs and alcohol, then you are an inconsistent parent, and this sends very mixed messages to your children, which affects the development of their personality.

Your children are like sponges. Little rabbits have big eyes and big ears. They can pick up on the variations in your mood. They can sense the instability caused by drink & drugs. It affects them.

If you smoke your drugs or cigarettes in a confined space with your children, even worse. Drugs are measured in the body using a unit called mg/kg. That's milligrams of drugs in the bloodstream per kilogram of body weight. I don't know if you've noticed this but children are a lot smaller than adults.

If two adults are smoking in a car, and there is a small child present, that child may be forced to smoke the equivalent of several boxes of cigarettes for even a short car ride. Nicotine is a horribly addictive drug. Imagine addicting that child and making them go through nicotine withdrawal over and over and over again, when the child doesn't have a clue what's happening to them or any ability to explain what they're going through.

My friend's parents used to call me Nicotine, as a nickname, because I used to stink like an ashtray. My parents were always driving somewhere, smoking. I was just part of the baggage being lugged around. I felt like a burden. My parents just wanted to get drunk and take drugs. I was an accident. Oops.

If you are a sh1t role model for your children, they will want to run away from home as soon as they can and never come back.

I don't know if this is coming across, but I don't think my parents are very responsible. I don't think they are very good role models.

It's unbelievable, but they actually think they are cool for taking drugs. That seems rather immature to me, but then I've always felt like I have to be more mature than them, because they're not very responsible.

I left home as soon as I had a job and enough money for a flat, age 17. I couldn't wait to get away from such bad role models. They are liars and hypocrites and they are lazy and project their inadequacies onto their children, who are hard working and mature and responsible.

I don't know if this is coming across, but I'm very disappointed with their behaviour.

Parents must try harder. All my friends in my generation are very responsible parents. I think the baby boomers could try taking a leaf out of our book. Don't try and roll it up and smoke it though, like you usually do.

Did you know my own father refused to read anything I write? Pretty p1ssed off about that.

"La la la, I'm not listening" I imagine him saying while putting his fingers in his ears. How childish.

And parents wonder why their kids run away from home and never want to come back. Tsk!

That is all.

Tags: #parents #childhood #bullying #drugs #oxford #london #homeless

This is a story about the rise and rise of mental illness...

I used to be a Sea Scout. The motto of the Scouts is "Be Prepared".

When I suspected that I was becoming mentally unwell, I read every book, website, academic paper and journal that I could find that I felt related to my mental health and its potential treatment. I educated myself.

I'm an educated patient. Because I'm an educated patient, I avoided being medicated with a Selective Serotonin Re-uptake Inhibitor (SSRI) which would have caused greater mood instability than I was already suffering with.

SSRIs are also linked to emotional blunting and the destruction of the sex lives and relationships of many couples. My relationship was already on the rocks, hence going to the doctor to see if there were some magic beans or a silver bullet, that could cure my ills.

Fundamentally, I believe that some mental health issues are risk not destiny. There don't seem to be any genes that are clearly faulty in individuals who suffer from Unipolar Depression and Bipolar Disorder. They are complex spectrum disorders. Some people are really dysfunctional when they are unwell, and others find ways of coping, sometimes to the point that people around them don't even know they are suffering.

However, out of desperation, I have tried the following medications, prescribed to me:

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Mirtazepine

This was well tolerated (no nasty side effects that made me want to stop taking it). It certainly seemed to reduce my stress levels and get some sleep. I think I might have rebounded though and started to go hypomanic fairly quickly.

Quetiapine

Unless you like weight gain, constipation, dry mouth and feeling like a drugged zombie for the few hours that you are awake, before your next dose knocks you out and you start the whole miserable 24 hour cycle all over again... I can't say this medication gives much quality of life beyond dribbling at daytime TV.

Aripiprazole

This is useful to see if your head is held straight. If your head is leaning to the left, then you will dribble out of the left side of your mouth. If your head is leaning to the right, then you will dribble out of the right side of your mouth. If you are holding your head perfectly straight, then you will dribble out of both sides of your mouth.

Lithium

This is hardcore. You need to have regular blood tests. It will shorten your life. Avoid if you can tolerate other meds or manage without.

Sodium Valproate & Depakote

Do you plan on working again? In an office? 9 to 5? Not really compatible with going back to work full time. If you're not completely manic (psychotic) then best avoided.

Lamotrogine

Just takes so damn long to get up to a therapeutic dose, you go through another hypomanic episode, decide that you're fine, and then stop taking your medication anyway. It's pretty subtle. Apparently it improves REM sleep. I dream a lot anyway. My sleep quality is more a function of good sleep hygiene.

Olanzapine

Fast acting. Good to calm you down if you're having an unmanageable moment. Makes you sleepy though... couldn't really work 9 to 5 on it.

Bupropion

Fast acting. Incredible antidepressant. It did give me a panic attack once though. Also stokes my hypomania pretty bad. Although it's a nicotinergic agonist, it actually shares many characteristics of stimulants like caffeine and amphetamine. Makes you pretty horny. Helps you quit smoking too (I don't smoke though).

Diazepam

Mother's little helpers (Valium). This powerful long-acting GABA agonist is an amazing anxiolytic. You could literally stand in the middle of a highway and not give a sh1t about the cars whizzing past you at 70mph. Super addictive. Horrible to taper off.

-----

Fundamentally, do any of these medications work? Well, I can vouch for Bupropion, Olanzapine, Mirtazepine and Diazepam for their short term efficacy. However, the body soon gets used to the effects and builds tolerance, which means you forever need to increase the dose to get the same therapeutic effect... welcome to homestasis, b1tches!

In my anecdotal experience, it's better to tough out the storm and not mess with the ridiculously complex organ that is a brain. When the psychopharmacologists imagined how Prozac (Fluoxetine) was having its antidepressant effect they expected to see higher serotonin levels in spinal fluids. They told the world that depressed people had "low serotonin". They just guessed and they guessed wrong.

Type I Bi-Polar Disorder was also known as Manic Depression. This is a serious illness that requires serious treatment. It's not my place to comment on whether medication plays a part in that. I'm no expert on Type I BPD.

Type II Bipolar means that you have hypomanic episodes, not fully blown mania. That means risk taking, spending money, hypersexuality, racing thoughts and pressured speech... amongst other symptoms, such as reduced need for sleep & food, and intolerance of slow-witted fools.

I'm Type II. I think it's a very important distinction. If I can control my mood disorder with good diet, good routine, good sleep and abstinence from alcohol & drugs (including prescribed drugs) then my brain has the best possible chance of finding homeostasis.

If I can remove unnecessary stress in my life, caused by complete ass-hats, and I'm empowered to just get the f**k on with my life, then my symptoms will abate. It's as simple as that.

This was the first time that Frankie had ever seen snow. His brain adapted to the change in environment (December 2010)

Tags: #bipolar #mentalhealth #depression #suicide #sex #drugs #frankie

This is a story about burnout...

Here I am, back in Cambridge, after 4 years of ups & downs. What happened?

Well, I got hit by a perfect storm. I could see the storm coming - I'm a sailor after all - but I couldn't sail fast enough to get out of the way. Part of the reason for the sudden breakdown was uncontrolled self-medication with the GABA agonist, ethanol, which had suppressed my natural anxiety response until things were literally unbearable. The other reason is a lack of support from my parents. In fact, they actually undermined me and lied about supporting me.

Life is stressful. My sister is a single mum on a low income, working 6 days a week, going through a horrible divorce. That's stressful. I was a startup founder, in conflict with my co-founder and my girlfriend, who were both pulling me in different directions and away from my investors in Cambridge and my customers and talent pool in London. That's stressful too.

Our parents are always looking for the easy way out. They are not good at taking any responsibility, but I don't blame them. Whatever it is that causes them to be so slippery at accepting that they have 2 children who need their support, I want to find out and help them. My sister is a supermum to her daugher, my niece.

Even though our parents don't realise or appreciate it, we have been working so damn hard all our careers to make sure we don't place any financial burden on them. My sister and I have suffered in our adult lives as a result.

Something had to give.

You should give your children enough to do something but not enough to do nothing. It's as simple as that. If you don't give enough to allow your kids to do something then you're not a good parent. Simples.

My sister gives my niece a brilliant life.

So, I want to help my parents with their alcoholism. I want to help them see that projecting their inadequacies onto their kids is over-pressuring them. I want them to see that their kids are nice people who care about family and want to look after their parents in the manner to which they have become accustomed, but we are living in an age when the government has bankrupted the country.

Life is hard as a young person.

Baby boomers had it unbelievably easy versus the prospects that a young person faces today. The chance of a young person being debt free, owning their car, buying a house... these are pie in the sky dreams that will never come to fruition unless your parents are able to comprehend that their dreams of being idle pensioners are of lower priority than miserable deprived grandchildren and stressed anxious children, who have become parents themselves.

We have known about contraception and family planning for long enough, that there is no excuse for not thinking about the wellbeing of any children you might spawn. Having a baby does not make you clever. It means that your body did something that it was evolved to do... just the same as a slug, a pig, a fish, a bird. Reproduction just means that you failed to use your higher brain function, and acted instead, no differently than a fly laying eggs in putrid meat. Well done.

There are a great number of barely educated and underprivileged kids who are bored on housing estates and have no hope of escaping these sink holes. They are incentivised to perpetuate generations of welfare dependent and economically inactive families. These people have been robbed of the things that would enable them to work their way out of poverty and deprivation.

My parents both went to University, so they have no excuse.

I delayed starting a family until I had done more research into the genetic factors in Type II Bipolar Disorder, and had verified whether I could consistently manage my own illness in a stressful environment. Only when I know that I'm not going to pass on bad genes and I'm not going to have another stress-related burnout, will I consider stopping using contraception.

Condoms are a good thing.

My parents enjoy looking after my cat, Frankie, until I'm ready to be a good human to him again (August 2012)

Tags: #university #career #divorce #parents #depression #suicide #alcohol #addiction #bipolar #youth #sex #politics

This is a story about observation...

Frankie is a people cat. He needs company. When we went away to France for a couple of days, he was lonely and wouldn't leave our neighbour alone. He invited himself into her lounge and wouldn't leave. When we got home, he yawned, stretched and padded over to greet us. He let us all know how much he missed his humans.

It would be rather sinister to say that I had been observing my fellow patients in hospital, but it was kind unavoidable. I don't really watch TV and I find humans much more interesting than most other things. I also bonded with my companions, and the staff.

It was a locked ward, but I was there voluntairily so I guess I could have asked to be discharged whenever I wanted. But I went there to be safe, so it seemed crazy to ask to leave when it took me 13 hours to be admitted, and I was in a place of safety.

It's a bit of a strange compromise though: safety under lock & key. I wasn't sectioned but, scarily, the consultant did consider it, which was a little ridiculous considering I had been safe for 6 days by that point. A section can be 72 hours, 28 days or even 6 months... terrifying, considering all I did was go to my GP one afternoon.

Anyway, hospital was brilliantly therepeutic. I managed to tackle a bunch of stressors in my life, with the help & support of the NHS team. My treatment was very holistic: drawing, sculpture, drama, cooking, socialising, plus non-judgemental chatting to mental health professionals, of course.

Medication plays a role too, but it's very unclear whether it helps or it hinders, in the long term. Sure, if I was having a psychotic episode - seeing and hearing things - and was a real danger to myself or others, pharmacological intervention might be unavoidable, but is it really necessary to medicate a functional, articulate, self-aware and coping individual?

When I presented to my GP, we had the briefest of chats imagineable. My GP only really needed to know one thing: I couldn't guarantee my own safety. I had tried to keep myself safe, but plans to kill myself had formed in my head. It was only a matter of time before I acted on them. Free will is an illusion. We are controlled by circumstances. Try choosing not to be in pain next time you stub your toe.

Wanting to be in hospital is a big deal. Psychiatric wards are not for the faint hearted. You will have somebody checking on you a couple of times an hour - especially at night - and people yell out randomly all night. People sing to themselves. People wash obsessively (or is it compulsively?). People shuffle. People mutter incomprehensibly. People steal your stuff. People ask you strange questions. People are aggressive. People are inappropriate. There is a lot of anger, crying, frustration, fear, boredom, confusion, despair... but there is also hope and optimism. Strangely, I find the environment to be calming. It's supposed to be. It worked for me.

Obviously, you can't have shoelaces, belts, razors, scissors, cables (e.g. for charging a mobile phone), curtains (including shower curtains), locks on doors, furniture that's too tall, windows that open more than the smallest possible crack, windows or mirrors that could be shattered... there's a fairly comprehensive list of safety considerations.

Here's a little picture of the space where you can get some fresh air:

Nice, isn't it?

Well, yes it kinda is. The fact that the NHS has gone to all the expense of designing something that is - presumably - to discourage people from climbing the walls and jumping off. I guess that most people aren't such a good climber as me though, so it works for the majority of suicidal patients.

People also have unmet needs that are fairly obvious when you observe them for a little while. As a lifelong non-smoker, it was obvious to me just how important nicotine was in the lives of almost all the patients. The hospital has been smoke free for nearly 3 weeks, which is a huge burden on staff, who must accompany patients off the hospital premises every time they need a cigarette. Yes, that's right, need... these people are psychologically drug dependent. Nicotine is an extremely addictive drug.

Luckily I had already eliminated alcohol from my life too, 3 weeks prior to hospital admission. I actually have a working theory that that it's the reason why I became so deeply depressed. It happened to me in 2008 as well, when I quit drinking. It's so hard to avoid alcohol though - it's so socially engrained - that conducting an in-vivo study has been very hard, but I've gathered quite a bit of excellent quality data now (I've agressively managed to control other variables).

Frankly, I'm a bit of an oddity. I'm completely unmedicated, abstinent from caffeine and all drugs and alcohol. I have been for a long time. I'm about as clean living as they come. A perfect test subject for an unethical experiement into whether mental health issues come about due to environment, genetics, diet, social factors, stressors etc. etc.

Why unethical? Well... quite simply, if my mood sinks too low, I will take my own life. It's really not a choice. I don't want to die - at the moment - but when those dark times come, I feel quite differently. You feel differently too, and that's why you're thinking "why?" or some version of incomprehesion. You don't know how it feels until you've been there, and I really do discourage a trip to the edge of the abyss.

It's ironic. I have no fear of death, but yet I am able to rationalise that it would be foolish to make an irreversible decision. I ride my bike through handlebar-width gaps between double-decker busses, I climb the tallest trees, jump out of aeroplanes, have my photo taken on perilous ledges with no ropes attached to me, and drive at the limit of control.

One of the staff in hospital suggested to me the other day that I could keep 1% in reserve, just in case of emergency. It actually didn't sound too crazy.

Please support the Junior Doctors if they strike, and any other NHS workers. They deserve better pay & conditions (October 2015)

Tags: #suicide #depression #bipolar #NHS #mentalhealth #drugs #alcohol #caffeine #nicotine #frankie

This is a story about unquantifiable needs...

It takes a lot of effort to keep up with somebody in distress. If you're not going to go the distance, you are just guessing, and you will be wrong on every conclusion drawn from lazy presumptions.

Whenever my homeless friend Frank phoned me, I would get on my bike and travel from Kentish Town to King's Cross to meet him. This might have been rather inconvenient for me, but I had started so I was going to finish. That's the first thing you need to know about me & Frank: we are determined people who finish what we start.

I had decided to take a trip to Prague, Czech Republic, to see a friend from the Springboard Accelerator Program, Cambridge. In so doing, I wasn't there for Frank. The consequences for him were nearly disastrous.

Did you know you can't keep one single solitary crab in a bucket, because it will crawl out and escape? However, you can keep two or more crabs in a bucket, because as soon as a crab tries to escape the other(s) will pull it back down into the bucket. They keep each other imprisoned. Mutually assured destruction.

Frank is a happy-go-lucky kinda guy, like me. We trust people. We give people the benefit of the doubt. We ran into some of Frank's 'friends' just before I had to catch my flight to Prague. They tried to mug me. Luckily I was streetwise enough to see what was happening and I cycled off. There was nothing else I could do. They stole Frank's iPhone, so I couldn't contact him. I had no idea what had happened to him.

When I got back from my trip to Prague, I got a call from Frank's friend, Paul, saying he had just been discharged from hospital.

There was a significant disparity between Frank's story and his hospital discharge notes. He told me he had been discharged from St. Pancras Hospital, but his discharge notes were clearly from UCLH. He told me that he had sustained a head injury, but there was no mention of that in the notes.

However, what did check out was that Frank was an alcoholic and he had gone through untreated withdrawal that could have killed him. Delirium Tremens killed the famous singer Amy Winehouse and it nearly killed Frank. The notes didn't seem to draw much attention to the fact that he did not receive treatment for his withdrawal. I guess London hospitals see a lot of homeless alcoholics though... mainly in the morgue.

When I first met Frank, on Primrose Hill, the first thing I noticed was that he was clean shaven, well dressed, had a tidy haircut and spoke articulately. The second thing that I noticed was that he was drinking at 7am. When we went to get a cup of tea later, I noticed that he started shaking quite badly... it was time to skip the tea and get him an alcoholic drink.

Buying alcohol for an alcoholic? Had I lost my mind?

You are ignorant about the dangers of abrupt alcohol withdrawal syndrome for an alcoholic. It's not a perfect solution, to buy them a beer, but do you really want somebody having a Grand Mal seizure and dying right in front of your eyes, because you are too stubborn to educate yourself about the damned-if-you-do-damned-if-you don't trap that an alcoholic can't escape.

So, alcoholics are abandoned by society, begging enough money to self-medicate for their physical dependence with the threat of horrendous withdrawal syndrome and possible death, if their blood alcohol level drops too abruptly.

How do I know this? I've known alcoholics, I've seen people get treated, I've read books and papers and online resources. You can do it too, if you care. It's certainly a lot easier to be wilfully ignorant, though, and incorrectly say "why don't they just stop drinking and use some willpower?". It's certainly a lot easier to not know any facts and just be wrong about everything.

What if that person was your son, daughter, brother, sister, husband, wife, girlfriend, boyfriend, friend? Just let them die, right?

Well done.

First, do no harm (October 2013)

Tags: #frank #homeless #alcohol #addiction #NHS #friends

This is a story of the people behind the camera; the unsung heros....

As I was having a "brand interaction" with Shaun the Sheep, I observed that there was one gender that was statistically more probable to be behind a camera, photographing a little person.

Mums are our unsung heros, Grannies are the nonjudgemental free babysitters for mollycoddled mummies boys, Aunties are the eyes that see everything from afar, Cousins are the ones who are 'Goldilocks'... not too close but not too far. You shouldn't marry your cousin though. Not enough genetic diversity.

Men are arseholes. Powerful men are entitled, bullying, cruel and myopic arseholes. Men are warriors, but we are supposed to be civilised. There is nothing civilised about war. There is nothing civilised about bullying, pain, human suffering, hunger and feeling unloved.

Mums are the antidote to men's raging testosterone. When women give birth, maternal instincts are programmed into the mother, which are necessary for the survival of the species. However, human babies have very large heads (ouch!) and are totally unable to support themselves and their alien head until they have drunk lots of mother's milk from the mammary glands of their mother.

Oxytocin is released into the bloodstream of nursing mothers, as part of bonding, but there is a sympathetic reaction, which is not in the mother's body, but in the father (if he stuck around for the birth). The release of this hormone is critical, to change the mode of the male, from fight, fuck and flee, into a responsible adult who deserves to have his offspring survive for long enough to possibly pass on 50% of his genes.

This is not so much the 'selfish' gene, as the 'anti-freeloader' mechanism. I'm sorry buddy, but you don't get to sow your wild oats and expect to reap what you sow. That's called rape.

I'm sorry to say it, but there are far to many rapists in the world. Men who think that they can get away with taking what they want, and not sticking around to face the emotional and physical consequences. The price for your 3 seconds of copulation could well be a pink/brown/yellow/red, screaming, incontinent midget, which can't feed itself, but yet you find yourself doing a weird dance in worship of this blood and mucus covered alien that just exited the mothership.

The "summer of love" was merely a chemical blip that nature would inevitably find its way around. The powerful drugs that have been synthesised in Bayer, Roche, Lily, Pfizer, Myers-Squibb etc. etc. which were tested on animals, including many of society's undesirables is a holocaust that we have conveniently forgotten. Baby boomers should not be nostalgic for being doped up in a field having unprotected sex, because that's f**king up society.

Many well meaning Physicians have entered Psychiatry, believing that it was a new Science, motivated by the desire to improve lives. Nobody did the long-term studies to find out whether the outcomes were better or worse. Where data has existed - for example, with Heroin, Cocaine, Laudenum, Snuff, Cannabis - the long term outcomes only look OK for the extremely wealthy. Are you the Queen of England? No? Then perhaps Cannabis is not for you. Big Pharma gets very rich indeed of patent royalties, which is completely at odds with the needs of sick people.

Psychoactive substances have always been the means of controlling society. Whether it was the Coca leaves of Peru and Columbia, Betel nut of Africa, Paan of Southern Asia, Tea of North India and China, Coffee and Cocoa of South America... and of course, Tobacco of the Americas. Older than all of these, is of course, alcohol which was brewed by monks in order to addict people to something that would fill their congregation pews.

As shamanism, witch-doctoring and magic declined in Europe, so organised religion rose to fill the void, as child mortality and and an early death were guaranteed to feature in the lives of Medieval people, along with hunger and bitterly cold winters. Life was short and sh1t.

Civilisation has advanced. We now have the resources to treat diseases, making them go away and people live instead of dying. In a hell of lot of cases that's a mosquito net and a sachet of salt & sugar, which will save the life of a person with runny pooh, provided they have access to clean drinking water. It's as simple as that.

Add food into the mixture and you're improving lives immeasurably in Sub-Saharan Africa. The Sahara is a bleak and desolate space that separates almost an entire continent from having access to civilisation. Do we travel there to distribute clean water, medicine, bicycles? No, we go there to steal gold, diamonds, uranium ore, dam their rivers, steal their resources and take what little crops the African people grow to feed themselves, paying barely enough for them to survive the winter. This is rape.

I don't know if this is coming across, but I'm quite angry about this. I have been for as long as I've been able to hold a complex thought and set of feelings in my young mind. I'm sorry I wasn't a right-on lefty liberal, born with a copy of The Guardian clutched in my hands, as I was ejected from my mother's womb. I'm sorry that you're too far up your Islington Blairite Hypocrite Champagne Swilling Holier-than-thou F**king A*se to see that the working classes care too... but they didn't have the benefit of your privileged education. But then you're so smart that you knew that? No?

Thankfully, Oxford is a think-tank, where burnt out Blairites decide to raise a family. It used to be an affordable commuter belt City with enough culture and academic interest to make the trip into Paddington on the train, worth jostling with other suits in the morning.

Oh yes, Oxford has its fair share of people who look down their noses at the great unwashed masses. Thankfully though, some of them couldn't avoid actually encountering some grubby street urchins, and having their perceptions shaken up.

There was a joke shop in the heart of Jericho, where you could buy water balloons, smoke bombs, whoopee cushions, firecrackers/bangers and other things that could shock a smug mummy's boy out of his self-obsessed preening, admiring themselves in their gowns in shop windows as they walked through the cobbled streets of Oxford's dreaming spires.

My Parents never really reprimanded me for launching a "Swallows and Amazons" style attack on the punters, from the high boughs of trees and bridges in the University Parks. We were little monkeys, who tore around town on our BMXs and skateboards faster than any Park Ranger or officious old fuddy-duddy could chase after us. We used to ring doorbells, egg houses, put treacle on door knobs. We were working class kids thumbing our noses at the establishment and everybody loved it, except for the arrogant elite.

Luckily, all the 'warrior' men were all in London, hunting big game and beating their chests. We knew our mothers would tell us off and say "wait until your father gets home" but we also knew our fathers would be exhausted from full-on days of p1ssing contests in the Big Smoke, followed by horrendous rat-race train journeys from hell.

This kind of matriarchal society took the sting out of any beatings that the kids got, and us kids bonded a lot more with our mothers than would be ordinary at that time. Did it lead to a load of mummies boys? Actually, it might have led to a group of people who feel so loved and cared for that they feel invincible. Is this a bad thing? Well some of my friends have died young, making unwise decisions when fuelled by alcohol.

There was one friend who shone bright in all our lives, and the circumstances in which we lost him were close to my own childhood experiences, of playing on railway tracks unsupervised by adults. I could totally picture exactly how it happened. It was chilling, and still is today. I am not imagining myself doing that, I am actually able to perfectly empathise with the mindset that would have led to a tiny mistake, which cost my friend his life.

I hope that his Mother and family is OK, if they read this. I'm trying to write it as sensitively as I can. Our friend is still very much alive in our hearts, and I'm crying as I write this. Tears are rolling down my cheeks and splotching onto my keyboard. I can remember how he touched our lives, as clearly as if it were only yesterday.

The cruellest twist of all, was that we had reconnected just as we were leaving adolescence; and embarking on our journey into adulthood. It robbed us all of the chance to see just how great that young man was going to become. Life can cheat and short-change us still, even at the end of the second millennium.

The challenge that life set our group of friends, was how to cope, in the modern age that had scattered us to the winds. We couldn't really grieve properly as a group. Even though, by total coincidence, this young man had ended up in the same City in Hampshire as me. Most of our other friends had remained in Oxford, where we grew up in.

I used the Internet to try and reconnect with these friends, but it was still very early days, and I felt very damaged and bitter about having been taken away from this group of beloved people. My parents were always moving me away from my friends and schools I loved. I didn't undertand why this had to happen. It was heartbreaking.

We left Aberystwyth for Kidlington, we left Kidlington for Tackley, we left Tackley for Oxford, we then had an abortive attempt to leave Oxford for Cinais in France (thankfully my teachers stepped in and stood up for me, explaining that my life was getting f**ked up by this wanderlust) but we still left for Harcombe, and then the family left Harcombe for Charminster.

By this point I had gotten f**ked off and left home at age 17/18, for Dorchester and my first job. I had barely settled in when British Aerospace then had the lovely idea of moving me to the Portsmouth/Fareham/Gosport area. Eventually I got f**ked off with that company keeping me away from my friends (and being responsible for making weapons that were used to kill people) so I moved to Winchester, where unsurprisingly I didn't have the most developed set of social skills or any ability to relate to my peers... unintended consequences, but it certainly hit me right in the feels.

I had a very weird time in Winchester, but I made 2 key friends, one of whom has recently re-entered my life, which restabilised it temporarily. Friends are important. Continuity is important. Stability is important. Trust is important. Truth is important.

I'm still working through thorny feelings about being taken away from my peers. It left me feeling I had to be fiercely independent and do everything early, in a rush. I've always felt like I had to take care of my Parents. When we were in Ireland when I was a little boy, I remember staying awake all night so that I could go and fetch the coal in the morning. I got myself dressed at dawn, and was just heading out with the coal scuttle to fetch the coal, when my Dad woke up and asked what I was doing.

Yes, you can raise your kids in a Victorian way, and they will turn out OK to outward appearances, but they may have problems reconciling your nostalgia for a time that probably didn't exist and you are over-romanticising, with reality in the 20th and 21st century. The projection of your inadequacies will have unexpected consequences. "Children should be seen and not heard" is one of the most offensive things I have ever heard in my life. F**k you, you dinosaurs.

It's not your fault. You were the best Mum & Dad (I wasn't allowed to say "Mum" or "Dad" for some reason) that you knew how to be. I did have an interesting time in my not-really-allowed-to-be-child-hood, being your experiment in denying the infantilism of an infant. It's benefitted me in the long run... I've had a great head start in many aspects of my life. I'm just not what you might call, a rounded character. For every yin there is a yang.

I'd probably make a good butler. I like dressing up and I sound posh. I can be anything you want me to be. I aim to please, Sir.

Tags: #childhood #career #london #oxford #parents #drugs #addiction #alcohol

This is a story of queue jumping and those who get left behind...

I keep this in my wallet, to remind myself not to be one 0f the self-important pricks who thinks they deserve their position in the world. It reminds me that it's never OK to barge in front of the struggling masses. I found it in the middle of a forest in Ireland. The former owner, I imagine, was a jumped-up London eedjit who littered one of the most beautiful and unspoilt parts of our world I have ever seen. This little patch of green is one of the few places to not have been totally screwed by selfish and greedy monsters.

This keepsake also reminds me of the day that I decided to make a switch, from being so consumed with the rat race that I was unable to stop and smell the roses, to notice that there are very few places left that have not got massive concrete tower blocks, huge piles of plastic rubbish, terrible air quality, polluted rivers and all the increasingly obvious signs that the human race is acting with little or no care for the future of the planet.

It also marks the day that I reconnected with nature, having been stuck in the concrete jungle for far too long. The problem with London is, that unless you have a healthy outdoor hobby, like cycling or surfing, you have very little connection with your environment. We live under artificial lighting 24 hours a day, and our views are dominated by huge buildings, not towering trees.

Another problem with London is the drinking culture. I'm not sure if London drinks alcohol to switch off and get some sleep, after all those strong coffees, or whether to numb the realisation that the standard of living is actually pretty poor, when you consider long commutes, high rents, overcrowding, crime rates and poverty everywhere you look (except for Canary Wharf, which is a private estate).

So, I decided that I am going to quit drinking. This is harder than you would think, when you work in an industry where a standard interview joke with a candidate is "Do you drink? Don't worry if you don't, we can send you on a course". They closed the bars in offices, as the City has cleaned up its image, but you can still roll from your desk straight to a bar within barely a few strides.

Let's be clear about my drinking though. I drank pints of lager out with the lads from work. Drinking spirits and drinking alone set of alarm bells in my head, luckily, but binge drinking huge amounts of beer is not good either, even if everyone else around you is doing it too.

It has taken some time to prepare my colleagues for the relinquishment of my final vice. I have never smoked in my life. I gave up caffeine over the last year or so and I am now completely decaffeinated. I am targeting targeting a 1 pint a week, which will be cut to zero in October. This is a drastic reduction from having 5 or 6 pints of Peroni (over 5% alcohol) on a midweek evening, and my body and my colleagues have felt the impact.

So, at first, my body was extremely unhappy about going alcohol free. My sleep was terrible. I was waking up sweating in the middle of the night. In the morning I felt like I was full of flu: aching joints, feeling sick, painful abdomen. This was when I was STOPPING... surely we are supposed to feel better, not worse? Well, as it turns out, it takes quite a long time before you start to feel better.

I was shocked by how long it has taken me to taper my alcohol consumption down to just a single social drink, which I accepted on the proviso that nobody was allowed to pressure me into having another one, and I would go home after I had finished it. My colleagues carried on and were nursing hangovers the next day. I felt surprisingly rubbish after only 1 pint, but I was able to get up and have my breakfast at the normal time.

I think it really is like my friend, Tim, often jokes: "I'm not an alcoholic, because alcoholics go to meetings". The City runs on that kind of gallows humour. However, I have now started to lose friends and colleagues to alcoholism, and many more are very ill indeed. I don't want to be next.

Could this be my last ever pint? My body and brain wish it was (October 2014)

Tags: #career #london #alcohol #addiction #mentalhealth #banking

This is a story of exploitation...

Bipolar II is risk, not destiny, but I have unwittingly utilised my diagnosed illness in order to achieve things which many can only dream of. There has been a price to pay, which might aptly be summed up as Nick in blue.

For the uninitiated, a chronic illness is something that you will suffer from your whole life, with little hope of a cure or doing anything beyond masking the symptoms. An acute illness is one that presents itself - an episode of an acute illness - but can go away, for days, weeks, months, years or even the rest of your life.

As the Bipolar propaganda proudly purports, many famous 'sufferers' are not really suffering at all in their hypomanic phases, if we consider the following: very few would give up those highs in favour of a normal range of moods, despite the savage depressive episodes which inevitably follow the hugely productive and energy-sapping explosion of activity, which tends to punctuate the cycle.

Why should anyone who is so applauded and revered by bosses, parents, society, for their 'achievements' - measured only on abstract scales such as school and University grades, income and other work-related nonsense such as promotions and job titles - think that they are unwell and seek treatment?

It's very hard to spot a person with Bipolar II in your organisation, your team. When they are hypomanic, they are also productive, but they are disruptive and argumentative. Essentially, they are totally unmanageable and unable to play nicely with plodders. Companies like plodders. Managers like plodders. They make up the numbers nicely and don't give you any surprises.

When your Bipolar II team member becomes depressed, their productivity drops to zero and so do their hours. They will arrive late at work, leave early and generally do very little. However, as a manager, you will be flooded with relief that your team member is now no longer being so disruptive and argumentative, and you will finally see that a hell of a lot of work has been achieved, and happily let the burnt-out wreck turn up and be miserable at their desk.

As a plodder however, you are only waiting for the sleeping beast to re-awaken. It keeps you awake at night. It stresses you out. You only know how to do the thing that you're totally mediocre at, and you absolutely hate change and are unable to deal with it, so the idea of getting away from the source of this stress is unthinkable. You stay and accept round after round of unintended abuse.

Organisations like productivity, and stressed plodders are even less productive than normal plodders, so when they speak up and say that they are tired (from all the lost sleep) and stressed and they can't plod as averagely as they had been plodding before, the management don't tend to be very sympathetic. Often times, it's the poor plodder who gets the shove rather than the primadonna Bipolar II golden boy or girl.

Now, if this sounds Sociopathic, Narcissistic and arrogant, you are mistaken. Our entire pyramid-scheme structure is rather adversarial, and when we set targets for our employees in these fake hierarchies, we do so in the full knowledge that there are more people competing for the next rung on the ladder than there are fake job titles at the next tranche in the pyramid. We are deliberately asking people to squabble with each other over those precious promotions.

The Narcissist believes he or she is special, and deserves special treatment, deserves the status that they have (or better normally!). I personally, always wonder why people are listening to me, why I am the one who seems to be making the decisions or getting the promotion, because I don't do the work that's asked of me, play politics or jump through the hoops and clap like a trained sea lion in a circus, which is what we are told will get us to the top of the tottering tree.

Believe me, I try to fit in as best as I can. I have literally been crying every morning for weeks and months on end, when I am nearly dead with depression, but yet I have to try and comply with somebody else's idea of ideal office hours. Likewise, I try and do what is asked of me by my bosses, but unless you know how to do it at plod pace, you have normally finished your work by lunchtime on Tuesday, and your boss is rather annoyed that he or she now has to give you some more... so you have actually failed to please your boss.

So, there are a few things I have found, which help to give me a little more stability: to cap and floor the moods, so to speak, and not have absolutely bat sh1t crazy hypomania, and dangerously low depression:

• Breakfast : this is absolutely crucial. The stomach is a key part of our circadian rhythm. Digesting that first meal tells your body clock that "this is the time to get up tomorrow". I never used to be a morning person until I started eating breakfast, and now I spring out of bed with no "snooze" button presses at 7am.
• Lunch : I think you can probably see where this is going. Yes, lunch is important, because it breaks the tendency to just work without a break. When a person gets going in a hypomanic phase, they can work for days almost without sleep or breaks
• Dinner : saying to yourself that you need to stop work so that you can eat and digest before winding down for the day is crucial. Eating before 9pm is mandatory, and eating before 8pm is preferred. Otherwise, you find yourself gorging on whatever you can find, just before collapsing after 18 straight hours with no food at all since waking up.
• Wind-down : almost impossible if you don't start early enough, but essential preparation for the next part of being an animal.
• Sleep : not something you always feel like doing. Your intuition can be totally wrong when you are hypomanic, and usually you are way more tired than you realise, even though you don't feel like sleeping and you most definitely can keep on working. You would not even believe how many nights of sleep I have skipped in a row. Sleep is essential for energy, mood and the immune system. You get really sick if you don't have 6 or 7 hours a night, at least. More than 9 is too many... you'll get lethargic, or perhaps you are exhausted and depressed and you don't even realise!

In addition to this, there are some other rules:

• No caffeine : because it's a Dopaminergic and Noradrenalinergic stimulant in the same class of chemicals as amphetamine. It's a potent wakefulness agent in the brain, and will mess you up. "Do stupid sh1t faster and with more energy" is accurate.
  
• No alcohol : because it's a GABA agonist, like Diazepam (Valium) and you will develop a physical dependency on it, requiring it to be able to sleep, especially if you have been drinking coffee. It's the same as mixing uppers & downers as any other kind of drug addict. Did you know you're a junkie? Think about that next time you're looking down your nose at somebody. Alcohol is also hydrophilic, which means that it draws water out of the cells in your body... you are actually less full of life-giving water, when you are full of booze.
• No psychoactive medicines or drugs : the brain and body are homeostatic. That means, they are designed to stay in equilibrium. You don't need to add anything apart from glucose, water and a few vitamin, mineral and amino acid trace amounts, which you can get from proteins. Fatty proteins should give you everything you need (yes, animal fat is good for you in its natural form).

And finally:

• Exercise the brain and the body equally : when the brain is tired and the body isn't, it doesn't have a frigging clue why you are not absolutely whacked out and ready for bed. In our modern sedentary society, where we do little more than scroll through emails and web pages, our brain is a lot more tired than our muscles. This is not natural, and leads to 'brain exhaustion' despite the rest of you being physically dormant.

Of course, this recipe for mood stability is what I aspire to perfect, but it takes practice. I'm still working on keeping the routine, and resisting the temptations of a cold beer or a glass of wine. Giving up tea and coffee was one of the hardest things I have ever done, and I still have my 'methadone' in the form of mint leaves in hot water.

By the way, anyone who tells you sugar is a drug is an idiot. What's next, Oxygen is a drug?

Sex can be addictive, but it's not unhealthy. However, an unsatiated libido is most definitely unhealthy and unnatural (March 2015)

Tags: #career #mentalhealth #bipolar #sex