This is a story about treating every day like it's your last...

My life plan was a fairly simple one: earn loads of money working in IT, marry an attractive & intelligent girl who was into outdoorsy stuff and live happily ever after. I lived by the seaside. I owned my own home. I had masses of savings. I owned everything outright: my car, my boat, the furniture... I paid cash for everything.

When it turned out that the girl I picked was, errr, 'incompatible' with living happily ever after - to phrase it delicately - I didn't really have a plan B.

To be honest, after my marriage went to shit, I hadn't really planned on living very long. I'm really rather surprised to find myself alive and in reasonable health today. I was warned that my new plan - to take copious amounts of drugs and die in a hedonistic blaze of glory - would drive me insane and I'd find myself permanently brain damaged and dying slowly and painfully as my organs shut down one by one, or perhaps I would just suddenly and unexpectedly drop dead.

"Suddenly and unexpectedly drop dead."

Isn't that a risk that we face every single day anyway? There's a certain chance that your heart is just going to stop pumping and go into cardiac arrest at any moment. If you have a cardiac arrest outside a hospital, you're 80% likely to die.

The biggest threat to my life at the moment, statistically - and this goes for any 37 year old man, not just the ones with bipolar disorder and substance abuse issues - is suicide. Suicide is the biggest killer of men under the age of 50.

If I made smart lifestyle choices like not taking copious amounts of dangerous drugs, riding my bike through central London in rush hour traffic with no helmet on, stopping eating and drinking to the point where my organs fail and I piss blood, you'd have thought that I'd be doing a pretty good job of minimising my risk of premature death. NOPE!

What about all those extreme hobbies of mine? Off-piste snowboarding, skydiving, mountain biking, kitesurfing, rock climbing and mountaineering. You'd have thought that it'd be a good idea to give up those dangerous sports, if I wanted to minimise my risk of premature death. NOPE!

I was trying to have this argument with the Royal London Hospital consultant in the Renal High-Dependency Unit, where I was being kept alive by dialysis. I basically said, look, you're going to have to discharge me and let me go and start my new job and I'll just have to take the risk that my kidneys get worse and I drop dead. "You're playing Russian Roulette with your life" she said. Not really. The biggest threat to my life is suicide, and it was inevitable that losing my job would leave me in a psychologically critical condition.

One thing I quite often hear is criticism of risk takers. "How can you climb that mountain and risk your life, when there are people who are terminally ill, who would give anything for just one more day alive?"

"Treat every day as if it's your last."

That fairly innocent sounding platitude actually backfires, when you realise that it's an incitement to maximise your risk in pursuit of hedonistic pleasures and thrillseeking.

Knowing that suicide is the biggest killer of men under 50 is just a meaningless statistic, until you lose a friend or a relative to suicide, or you become suicidal yourself.

That's me in the picture above. I'm stood on a pinnacle of rock that's nearly 3,000 metres above sea level. If I fell - and I'm not tied onto anything - then it would a very long freefall before I went splat into the ground. Why am I not tied on? Why haven't I taken the precaution of attaching myself to a rope? Is it because I was suicidal?

The more you climb; the higher you climb; the more steep and perilous things that you climb, you start to become used to the exposure. The constant threat of falling to your death is something that you just get used to. One slip and it's curtains... but you're not afraid anymore.

I've got rather a toxic mix of psychology. I've got the ability to manage my own fear, stress and adrenalin, so that I can throw myself out of planes or climb frozen waterfalls, but when I become suicidal, I'm acutely aware that I could act on a suicidal impulse very calmly and methodically.

What is this silly little dance we call life anyway? Is it about procreation? Is it about making money? Is it about looking after your grandparents and parents as they get old and die?

Do I 'owe' anybody anything? Do I 'owe' it to my parents to treat the fact I'm alive with respect because they 'gifted' me a life that I didn't ask for? Do I 'owe' it to terminally ill people, to treat my life with respect, because I'm lucky and they're not? Do I 'owe' it to my friends to struggle on through the misery, because they'd be a bit sad if I committed suicide?

There are a couple of families - one in Ireland and one in Bletchley/Suffolk - who have been there for me during my darkest moments. There's a friend who I would've seen over the Christmas break, except for an unfortunate bout of illness laying him low. There are a handful of people in the world who've seen what my friend Laurence calls 'The Horrors' and they've protected me; stuck by me; defended me and been loyal friends. There have been people who've appeared unexpectedly - most welcome - back in my life. I'm not the most predictable of people, having decided to visit an old school friend in San Francisco, booked a flight and boarded it, within the space of just a few hours.

That's how it goes. Here today; gone tomorrow.

The speed with which my kidneys failed was shocking, even for me. The fact I needed dialysis was shocking, even for me. The length of time it took my kidneys to start working efficiently again was shocking, even for me.

Does that sort of stuff make me think "oh wow! that was close!" and "I better be careful and treat my life with respect"? You're asking the wrong question. My suicidal thoughts drive my reckless risk taking behaviour. Suicide was, and still remains, the biggest threat to my life. The shitty stuff that happened was all a consequence of my flirtation with death. I don't quite have the nerve to take the active steps to 'pull the trigger' as it were, because I know that I'm psychologically strong enough to just do it, without hesitation.

My trip to the Golden Gate Bridge was a metaphor for just how quickly, impulsively and with single-minded determination I can reach the point of no return.

My friends who hosted me in San Francisco read some of my recent blogs and asked if there was anything they could do to help. These are some of the people I admire and respect most in the world. They have super busy stressful lives raising little kids on the other side of the Atlantic, on the West coast of America.

What can anybody do? Everybody's got their own problems. Everybody's got their own money worries. Everybody's got a lot of shit on their plate. We've built a society where we are isolated, alone, overstretched by ordinary life to the point where we're just about managing. Who can afford to shoulder part of the burden for somebody who's struggling? Who can afford the time? Where are you going to find the energy when life is already so exhausting? Who has the financial means to help every fuckup with their begging bowl held out?

More fundamentally, under what kind of terms am I prepared to help myself? Arguably, I've thrown away 3 very well paid IT contracts for 3 massive banks, doing work that I can do with my eyes closed. Why the fuck would I do that?

I'm a complex beast. I feel guilty about my role in building systems that were pivotal in the financial crisis of 2007/8. I hired a development team in Mumbai, India, and I led that team to create a trade confirmation system for derivatives that handled over a quadrillion dollars in volume, in its first year. That's immoral. I knew what I was doing. I was busily fixing my own mortgage rate, knowing that there was a credit crunch coming. I invested my money in physical gold, because I had so little faith in the banking systems that I helped build.

I also had a taste of what it's like to own and run my own company. I outsourced. I ran software projects. The only difference was that it was my money and nobody could tell me "no". I could do whatever I wanted, and the ego rub from holding the job title "CEO" is a hard place to come back from. I now wander from company to company, pointing out the things that are on fire, fixing them if they let me or otherwise getting into conflict or suffering incredible boredom and frustration as I try to keep my mouth shut about the impending disasters I can see unfolding. Sure, I get paid a buttload, but it upsets me. I still spend money like it's my own.

That last project I was working on had an annual budget of about £25 million and was handling 30 customers a day. Basically, the cost of customer acquisition was over £2,000. These were not high-net worth individuals. They were simply ordinary banking customers. The project was not very complicated, but the waste was incredible.

What the hell is wrong with me? Am I a prima donna? Am I Goldilocks? Everything's got to be 'just right' for me? Do I consider the kind of work that's available to me to be 'beneath' me?

Certainly, I struggle with the prospect of having to do the kind of job that I mastered 10 or 15 years ago. I sometimes laugh out loud in interviews when somebody asks a question that's the equivalent of asking a master builder if they know what a brick is. Is it arrogant? I don't give a fuck... it psychologically destroys me, running projects for dinosaurs who pay top dollar for the best consultants and then don't listen to them.

I remember quite distinctly in 2001, I was deciding whether to learn a new(ish) computer programming language. I read a book about it. I was already learning another programming language at the time. Then it hit me: I had become a polyglot, somewhat by accident. I was able to read any code and understand its function - its intent - no matter what the actual specific implementation technology was. I knew that me and software had reached the end of the road. I asked my boss for a sabbatical while I considered what I wanted to do with the rest of my life.

It's kinda hard to change career direction and it gets harder with age. You not only have to bankroll yourself through training and getting started in whatever new thing it is that you're doing, but if you're turning your back on one of the most lucrative careers there is, you'd better be pretty damn certain that you picked the right alternative.

I bump along the bottom, being dragged back into god-awful, boring, unambitious, ill-fated and badly run IT projects, whenever my bank balance reaches danger point. But the hardest thing is the dread: the dread about selling my soul; the dread about having to keep a straight face when people are panicking and running around like they've never seen some mundane issue before.

I can't escape. I'm in a deep hole. The hole isn't deep at all for an IT consultant, but for almost any other job, it's an inescapable pit of doom. The reason why I got in such deep shit is divorce, mental illness, and being smeared all over the streets of London, in and out of hospital. Like I said earlier, it's a miracle that I'm still alive.

I hadn't really planned on living this long and that's a bit of a problem. Because I'm so suicidal and trapped, I guess there's an easy decision to be made. I know that I have absolutely no problem following through and overcoming any psychological hurdle that might stop most ordinary people from killing themselves.

I wrote this, while I was working my last IT contract:

Once he had started, he knew there would be no stopping until it was done.

That's why it had taken him so long before he started his final journey; because he could picture every single step of it. He knew that he would just methodically follow the steps, and then it would be over. He could be cold and clinical when required; rational and calculated; measured in his approach. There would be no panic, no rise in pulse, no hyperventilation. To all outward appearances, there would be nothing that would cause alarm or alert suspicions in anybody, until he was at the very brink; in the final moments.

The imagery of the bridge was so ingrained in everybody's mind, because it was such a major landmark. The bridge had featured in so many films. The bridge had been photographed so many times. The bridge was a prominent part of company logos and corporate branding. The bridge was something you could close your eyes, and picture it in exquisite detail. If you were asked to draw the bridge from memory, you'd be able to make a passable sketch of it. Even if you'd never been to the bridge before, it felt like you had been there.

That's why he had never been to the bridge. He could never be sure if he was there just in his imagination - where there were no irreversible consequences - or if he was there in real life. It would be so easy to follow through with his day dream - his fantasy - in real life. He'd played it all through in his head so many times.

Staring up at the spot on the centre of the bridge, where it was highest above the river below, he could imagine himself walking up to that spot, knowing that when he reached that point, only the chest-high barrier would separate him from the edge. He knew that the hardest part would be the bold step of climbing over the barrier. It would be so easy to peer over the edge, while safely protected by the barrier, and then chicken out. That's why mental preparation was important. That's why visualising the whole thing in advance was important.

He wasn't unfamiliar with the psychological battle of overcoming your fears and hurling yourself over a mental obstacle. Stepping off an edge was something you did every time you stepped off the kerb and into traffic. Vaulting a barrier was something you did when you climbed over fences as a kid, playing with your friends. He had done bungee jumps, where it was up to you - free will - to actually jump. He had done skydives and parachute jumps, where it was up to you, whether or not you hurled yourself out of a perfectly good aircraft. He knew he could overcome the psychological challenge of cutting loose and falling. Falling, not attached to anything, tumbling free in space. Nothing to grab onto. No second chances. No way to change your mind once you throw yourself out into empty space.

People talked about cowardice, selfishness, but they missed the point. People didn't understand that have to be brave to choose to put your life in danger, especially when falling to your death is one of the obvious risks. You also have to be brave to choose death. Who knows what happens when you die? Fear of the unknown is why people cling to life: self-preservation instincts.

He'd been a leader in the mountains and on rock faces. The leader always took the biggest risk of falling. At some point, falling became inevitable. If you roll the dice enough times, your number is going to come up eventually. If you take risks, you have to accept the increased chance of injury and even death. He'd had friends who had been killed or permanently disabled. A certain amount of "it could never happen to me" bravado and gallows humour stopped people from losing their nerve. At funerals, people would say that "he/she died doing what they loved" which was true, but this was mainly to distract from the reminder of our mortality, while doing the things that we - the living - love.

Those psychological skills, as a rock climber, mountaineer, bungee jumper, skydiver... they all now worked against him. He knew what it felt like, to be on the edge of a perilous drop, with nothing holding him safe except his own grip, and his own sanity: to not hurl himself over the edge.
At the top of tall buildings, on a mountain, or at a cliff-top, it troubled him how easily he could just jump off. He had to stay away from the edge; not because he wanted to keep himself safe, but because he didn't know if he could trust himself to not just jump. It would be so easy. It was the ease of it that troubled him. The proximity to a fall that would deliver a swift death called to him like a siren. Instead of being appalled by the fear of death, there was an allure.

When learning to climb, people clung to the rocks with white knuckles. They kept their bodies pressed as close to the cliff face as they could, as if being flat against the surface would mean that they were somehow safer from the pull of gravity. Most people were not psychologically prepared to be climbers or mountaineers. People on mountains collapsed on the flat ground, when sheer drops to either side of them overwhelmed them. Our instincts tell us to lower our centre of gravity, but when you are up high, gravity can only pull you down. It doesn't work, putting yourself closer to the cliff or the ground. You will still fall to your death.

There was something different about him. Sure, he wasn't the only one with the strange mutation of the mind, that allowed him to overcome the self-preservation instincts, but it was rare. Most people dislike heights. Most people are scared of falling. Had he always had this ability to put himself in a position of peril, and to overcome the instinct to simply freeze, to overcome the instinct to not jump out of the aeroplane, or climb up high where you could fall.

Possibly through repeated exposure to perilous situations, he had become immune to the threat of death. He had become comfortable, being in situations that put your own mortality as the immediate and most pressing concern. Sure, you could die crossing the road, but most people aren't thinking about that. Those first few times that you jump out of a plane, you most certainly are thinking "what if my parachute doesn't open?".

But the what ifs can be set to one side. What if I end up in Hell? What if I change my mind, in the split second before I die, when I'm past the point of no return?

Death is the great unknown, and we intrinsically fear the unknown. He had become well practiced at entering the unknown, in mortal peril. Who knows how you're going to feel, plummeting towards the ground at terminal velocity? He knew.

In a way, he had answered too many questions that previously had comforting answers dreamt up by priests, shamen and witchdoctors. The answers of the unknown, and of the intrinsic fear of death that dwells within all mortal creatures, for the purpose of self preservation instinct, had been given by those who sought to profit from believable fairy-tales for simple minded idiots. His rejection of organised religion gave him little comfort, in an uncaring universe.

Science tried to give answers, but it could offer no meaning. Why was anything the way it was? It just was. Even science broke down at some point, demanding that those who studied it just accepted the cold hard equations that revealed themselves in the mathematical patterns that were observed in reality. However, science had nothing to say about how to adjust to the incomprehensible vastness of the universe, the insignificance of existence and the seeming finality of death.

Science demonstrably showed that there was nothing after death. After the neurons of your brain ceased in their electrical dance, you were gone. There is no soul. A person is nothing more than the quantum potential, held in a brain. Consciousness is nothing more than an illusion, an unintended consequence of the vast complexity of an organ belonging to an organism that was only intended to allow genes to replicate.

What had he done, opening Pandora's Box by studying theoretical physics, and all the applied sciences that were derived from the fundamental rules that governed the universe? It was if by pulling back the curtain, and shattering the illusion of the theatre that played out in front of his eyes, he had of course ruined the enjoyment of life.

The willing suspension of disbelief was necessary to get any enjoyment out of any theatrical presentation. For sure, the sets were made of wood, and the birds were painted onto the background and never flapped their wings. For sure, it wasn't really snowing when a stage-hand in the rafters tipped a bucket of white polystyrene balls from above, but the illusion was passable if you didn't pick it to pieces.

He had picked everything to pieces. By relentlessly asking "but why" until the question made no sense anymore, nothing made any sense anymore. When he had reached the realisation that he was nothing more than an insignificant speck in a universe that was as good as infinitely huge, and incalculably complex, it was hard to return to a simpler, happier time, when there was some mystery and joy in things. When you can reason everything from basic principles, there is no more magic in the world. When the magician's trick can be picked apart by logic and reason, he turns from an entertainer bringing joy and delight to his audience, to a con-man.

Everything had turned to shit for him. With a Midas touch, he now applied sharp reason and logic to everything he saw, and the curtain was permanently pulled back. He saw humanity's ugliness. He saw people fighting and fucking each other over, and just vast numbers of total idiots, everywhere he turned. His heart was broken. Where had the beauty and mystery all gone? What questions were there really left to ask, when it seemed like all could be answered on his own, using base principles.
Through extrapolation, he saw no more point in continuing his life, than a scientist would in repeating an experiment that has been proven beyond all reasonable doubt to yield the same results time and time again. Only a fool does the same things expecting different results, he was often fond of saying. If you keep putting garbage in, you'll keep getting garbage out.

The world had exhausted him. In love with ideas of building a utopia as a child and young man, he now accepted that there was no shortage of good ideas, but there was also no shortage of people who didn't want to see them implemented. There were too many vested interests. People had too much to lose. He couldn't fight the world anymore, with reason and logic, and arguments about the greater good. Nobody wanted the greater good. Most people just wanted to be at the top of the pyramid, king of the hill.

Perhaps that's why men climbed mountains, because for a brief moment when you stood on the summit, you could count yourself amongst just a handful of people who had faced great adversity to be higher than almost everybody else on the planet at that moment. Standing alone on the top of Mount Everest, anybody else you could see, with solid ground under their feet, would be literally beneath you. The air passengers and astronauts in the International Space Station don't count: they didn't walk there, on their own legs, and they're not standing on Earth.

That was a brave thing, to get into an aeroplane or a rocket. We have become desensitised to it, now that jet travel is commonplace, but imagine those first adventurers in space flight and aeronautics. Imagine again, how mad it is to put yourself in a position where you could fall to Earth.
So, he supposed it was apt, that he should end his life in this way: falling.

He walked up the steps, to where the bridge departed from the land, crossing the chasm below, held in space by the tensioned steel structure that towered above. He started to cross the bridge to the opposite side, that he had no intention of reaching.

In a dreamlike state now, his vision narrowed. His hearing was dulled. The fine detail of the universe around him seemed to fall away. He no longer noticed the cars driving across the bridge: their engine noise, and the rush of air as they went past. He no longer noticed the people, who were photographing themselves, talking to each other and headed to their own unknown destinations. He no longer noticed the rumble of a jet passing ahead, or the blast of a horn on a giant ship, that passed under the bridge, on the river below. He was now living his daydream, with everything playing out exactly has he had pictured it so many times before.

Reaching the centre of the bridge, he turned to the barrier. He couldn't hesitate for a single moment. If he hesitated, then doubt would enter his mind, and he would start to have thoughts: rational thoughts. He would start to re-analyse things. He would start to talk himself out of what he was going to do next. He would start to think about the "what if?"s He would start to enter some unknown situation, out of control from the destiny he had chosen. Things could easily get out of his hands. Some kindly good Samaritan could step in. The police could become involved. Psychiatrists. People to save him from himself.

He threw his leg over the barrier, and lowered his foot to the little ledge the other side without a pause. He then brought his other foot to meet the other on the ledge. He was now stood with his back to the river, facing onto the bridge, but on the outside of the barrier. He stared dead ahead for just a second, steeling himself to make the final moves.

He twisted his body 90 degrees, and swung his left foot out into space. Now, he swivelled on his other foot on the little ledge, and reached behind himself, grabbing the handrail of the barrier, with the bridge now at his back. He returned his left foot to the little ledge, with his feet now pointing outwards.

Pausing to look down, he didn't really see anything. His vision had glazed over. He knew that to focus on what was below him, and to consider the height that he was at, would be to invite a sense of peril into his mind. He had put himself into a trance-like state. All of the mental rehearsals beforehand had prepared him for this. All of the times he had pre-visualised these steps, meant that he was now following a dance routine, and his mind was quiet and calm. All he had to do was exhale, and make his final move.

His stomach rose in his chest, constricting in his neck, before he even released his grip. His body anticipated the weightlessness, before he had even stepped off the ledge. He knew he was going to jump, before he had even done it. He knew he had passed the point of no return - psychologically - before he had even physically started the process. The decision had been made in his brain, and the signals were being sent to his muscles, but he was already conscious that he had done it. He had jumped, even though his hand still gripped the barrier and his feet were still on the ledge.

Now, he was just a passenger. He felt himself let go of the handrail, and let his arms drop to his side. He felt himself squat slightly so that he could launch himself off the ledge. He felt himself straighten up, springing forward and away from the bridge. He brought his arms up, above him and pushed out his chest, forming a 'Y' shape with his body, as he cut through the air.
He didn't tumble. He fell fairly flat, with a slight incline towards the ground, as he gently rotated towards a head-first plummet to Earth.

He felt the air briefly rushing past his face, and heard the noise of wind get increasingly loud. He didn't see the ground coming towards him. It was all too quick, in the end.

Then, blackness and silence.

Stick that in your pipe and smoke it.

Tags: #suicide

This is a story about comfort zones...

Relax and put your feet up, I'm about to tell you the tale of two sedentary situations.

I'm institutionalised. Put me inside a hospital or a head office, and I'll feel right at home.

Most people don't like hospitals: they associate them with pain, death and stress. Most people don't find hospital relaxing; quite the opposite in fact. Hospitals are places of mysterious rhythms and routines that seem chaotic to most people. There are different sounds that all the machines make when they're working, and when they're making noises that indicate that something is going wrong. There are different NHS staff, in different roles, in different clothes, who appear at different times.

My week in hospital that I'm going to tell you about - although I spent the best part of two weeks in hospital  - sounds kinda nice, because I was never really afraid or outside my comfort zone. I find the functioning of complex organisations to be fascinating. I love observing the systems and the people, trying to second-guess what's going to happen next, and what's going on behind the scenes. I like asking loads of questions and adding whatever I can learn to my growing body of knowledge that allows me to feel more in control of my destiny and more able to know what to expect next, than the tense, anxious and extremely tedious waiting game that most patients face on the National Health Service.

Once one has resigned oneself to the maximum speed that a massive organisation can function at, the whole hospital experience becomes quite meditative. Sitting in Accident & Emergency, you can fill your time sneakily looking at the other patients in the waiting room, and trying to guess what symptoms they reported to the reception staff when they arrived. Shortness of breath, chest pains, numbness in one side, drooped face, earlier seizures, unconscious or otherwise delirious patients will normally arrive by ambulance, but any walk-in presentations will obviously jump to the front of the queue. Then, there are the people with minor injuries who have put up with their trivial ailments for days or even weeks. The reception staff aren't allowed to tell them to fuck off, so these idiots must sit for hours on end, only to be told off for wasting valuable NHS resources, quite rightly. In the middle, there are nasty workplace injuries, DIY accidents and total wildcards. You usually get seen by a triage nurse within an hour.

Having been admitted into Accident and Emergency, there is a brief flurry of activity while routine blood samples are taken, and perhaps you're hooked up to a drip. A barrage of questions is fired at you. Examinations seem to be probing and thorough. Surely these professionals are going to have this problem fixed in no time?

It's always a mistake to believe that important things are happening and it won't be long before the right diagnosis is reached and the right treatment is administered. One should be aware that the function of A&E is to rapidly assess whether you're about to die, whether you might need to be properly admitted to the hospital, or whether you can be discharged swiftly, suddenly and brutally.

Once on a ward, a certain amount of orientation and induction is necessary, but all wards function with great similarity. All nurses are grateful if you don't press the call button all the time, for trivial things, as well as being cantankerous and discourteous. Remembering one's Ps and Qs at all times is a pleasant distraction from boredom, pain and discomfort. There will be shifts, and it's important to be mindful of when these shift changes occur. The NHS staff see so many patients come and go, and many are lucky enough to only have a very short stay in hospital, so there will be a certain initial reluctance to absorb you into the system: the ward wants to spit you out undigested.

Having overcome some initial resistance, you can relax into hospital life. Your day begins with your vital signs being measured. Then blood samples are taken. Then there is the hullabaloo of breakfast, ridiculously early in the morning at 7am. Then, there is nothing. All of that disturbance keeps the night shift staff briefly busy before they hand over to the day shift. The day shift hope to be able to ease their way into the working day gradually. Consultants start to appear at around 10:30am, followed by a gaggle of registrars and junior doctors. The most important time of the day arrives: choosing your lunch and dinner for the next day. By the time that lunch is served, you can't remember what you're going to get because it wasn't long ago you had to choose what to eat tomorrow. The meals are pleasantly bland and easy enough to eat. Mealtimes are something to look forward to, even if the food is far from gourmet. Expecting much to happen during the day, in terms of treatment, is a mistake. Anticipation of treatment that has been promised can only lead to frustration and disappointment. The NHS does what the NHS does, and it does it at its own speed. Things cannot be rushed or expedited. Complaining or asking staff when things are going to happen or what's going on, will only piss them off and ruin their day. Dinner arrives surprisingly early. Treatment can be sprung upon you at the end of the day, just when you thought you were going to have a relaxing evening, or you can have a lengthy wait until you get your pain medication and anything to help you sleep. Dropping off to sleep is not easy, especially as the day shift will hand over to the night shift loudly at the end of your bed, and there will be more vital signs being measured before you'll be left in peace to try to get some rest.

And so, my week in hospital consisted of lying on a bed that had buttons that could make me sit up or lie down, with no effort required at all. I was able to elevate my bad leg, to reduce the swelling. I was brought paracetamol every 4 hours, tramadol every 6 hours, and 2 hot meals a day. There were few unexpected interruptions, and if I was well enough, I would have been able to read, listen to music, browse the internet and watch films & TV, pretty much all day, all evening and as late at night as I wanted. I could stake a piss without even having to get out of bed. Friends travelled to see me. Doctors came to my bedside, and I was wheeled to wherever I needed treatment, by hospital porters. I was under no obligation to do anything, except to get better, and all my basic needs were met. My lovely girlfriend augmented the hospital care, so I wanted for absolutely nothing. Blissful, right? I could have stayed for a month, and I would have even earned £676 (I pay myself minimum wage).

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Why then was I in such a hurry to discharge myself? Why would I leave the lap of luxury, and risk my health and even my life, by leaving the safe confines of hospital?

Well, that's a topic of discussion I've covered at length in prior blog posts, so I invite you to peruse the archives.

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People rarely change their bank. We open current accounts in our teens, and we keep them into adulthood. Some of us even opened special accounts when we were children, and we have a certain nostalgic brand loyalty for the bank that we've been a customer of since we were youths.

The 'big four' or 'big five' high-street banks have not changed for my entire lifetime. We have (in alphabetical order) Barclays, HSBC [Midland], Lloyds [TSB], Royal Bank of Scotland and Santander [Abbey National]. These banks hoover up 85% of all the current account banking customers in the UK.

Just like current account holders, people join these banks when they're young - often their first job - and tend to stay loyal. Many people who I deal with on a day-to-day basis have worked for 15, 20 or 25+ years for the same bank that's been so good to them that they've never felt compelled to leave. Everybody bitches about their job, but a bank employee knows that they're very well looked after and they'd be mad to go off in search of a better job.

I've worked for 3 of the big 5, and they're institutions that I feel very at home in. Some people might think that I work in a rather high-stress environment, where it's imperative that I'm up to date with the latest cutting-edge developments in my field, and I need to perform in an exceptionally demanding role. The truth is, once you're in the door, you're in for good. You get your feet under the desk, and adopt the right kind of jaded resignation, that everything is going to be slow, sloppy, shit and a massive festering pile of neglected crap that nobody gives two fucks about, and you'll fit in just fine. Moan as much as you want - everybody does - but for God's sake don't go on any crusades to change or improve anything. Just settle in, get comfortable and enjoy the masochistic experience of being in a world where not a lot gets done and the right answer is always "no".

A lot of people get into technology and engineering, because they like to fix things and make stuff that works. They like to build stuff. They like the feeling of completing a technical project, throwing the switch and seeing their hard work put into action. A bank is a terrible, terrible place to build anything that will ever see daylight.

Having come to terms with the fact that any ambitions you had of building useful things that people might actually use, will be forever thwarted by a bank, you can begin to enjoy the ridiculous game. You command millions of pounds of budget, and you will achieve nothing. When you estimate how long you think it will take you to do something, you double your original estimate, double it again, and then double it one final time for good luck, and it's still not long enough. When you are asked about the feasibility of doing something, or whether you have any spare bandwidth to perhaps do something extra, you instinctively say no; it can't be done; no chance. Nobody ever got fired for saying no. In fact, people start to love you and think you're great at your job, if you get really good at saying no.

Delivering pieces of important technology, 100% working and of high quality, in short timescales and with hardly any resources, is liable to cost you your sanity. "It can't be true" colleagues will proclaim, even as the results are staring them in the face. From denial, your colleagues will move to the belief that it's a one-off fluke, or they will hate you. Colleagues will mainly hate you for making them look like totally incompetent blundering slowcoach fools. Nobody ever made friends and got ahead in a bank, by doing a good job. Finding yourself burnt out from the exertions of persuading people of the merits of doing things properly, without pointless delays, you find yourself suddenly alone; isolated. You may create some kind of mythical; legendary; cult status around yourself and your achievements, but you have no future with the bank: the bank doesn't want your type, and it will unceremoniously eject you.

You can work for a bank for as long as you like, provided you just go along with things. Never challenge anything. Never push for change. Never go the extra mile. For sure, banking demands that you be seen to be going the extra mile, but it's all just for show; part of the act.

So, if you want to be really successful in your banking career, you learn the rhythm and routine of your department. You learn when your boss arrives at work, and you get to your desk before him or her, and leave with them in the evening, making pathetic small-talk. You learn who's got kids, what ages they are, and what stressful childcare arrangements are a pain in the arse for your colleagues. You learn how everybody gets to work. You learn whether they're morning people or night owls. You learn their interests: topics to get them talking; things that enthuse them. You learn who takes their job seriously; who's ambitious; who's jaded and demotivated. You learn who drinks heavily, smokes, gets stoned. You learn who's lived, and who's been insulated. You learn who's worked hard, and who's had advantages. You learn when to make yourself scarce and blend into the background, and when to promote yourself. You learn the things that need to regularly get done, and you discover many things that don't need doing. You learn how to do just enough to please the handful of important and influential people, and how to avoid having to do any pointless busywork.

You can't prepare yourself for boredom. There is nothing in the world worse than boredom.

My first week back in the office was 4 days of boredom. I've seen it all before, done it all before, and I'm the master of minimal effort. The only problem is that I need to look busy to make a good first impression. I forbade myself from reading the news on my laptop. I tried really hard to not look at my phone too much, and to pretend to be busy.

My boss and his boss, both sit right next to me. My boss is a nice guy who seems to have a paternal nature. The big boss talks too much and doesn't realise that I find him amusingly stupid. I listen, make the right noises and say some encouraging sounding things, but I'm completely failing to disguise my contempt for this fellow, but luckily he's the only one who fails to see my total lack of respect for him, except for my bosss. I endeavour to make my boss feel that my number one priority is in supporting him in making our team look good in the eyes of the big boss. I try to make the big boss feel in control, while diverting any respect he commanded away from him. There's a mutiny in progress, but nobody will realise until it's past the point of no return.

Virtually nothing can be achieved in 4 days in a bank, and I've achieved far more than anybody expects of me, even though I've spent a considerable amount of time in the toilets, browsing Facebook and writing amusing things for my friends to read. I invested as much time as I possibly could in developing a good relationship with my boss and my team, but I have nothing of value to contribute yet. Aside from dazzling my colleagues with my all-round technical knowledge, my main task is to stay the fuck out of their way and not disrupt things too much.

Regrettably, I've had to take Friday off work. Making a good first impression can only be done once, and the lasting image that my colleagues will have of me - the guy wearing the robocop ankle splint - will now be tainted with the fact that I had to take time off work, giving the impression that I'm unreliable and prone to sickness. Damage to your image like that can be irreparable.

Sometimes, it's desirable to be known for being unhelpful, regularly late to work and somebody who leaves on time in the evenings. Being somebody who walks out the office door, even when there's a major crisis, is the sign that you have become perfectly adjusted to bank culture. However, the clever ploy is to try hard at first, to develop an image of being a hard worker, but in actuality, you are avoiding work and responsibilities at all costs. In time, you will have the best of both worlds: being thought of as dedicated and useful, but actually adding no value at all.

My foot has been steadily getting more and more painful through the week, and I've been popping painkillers throughout the day. I've passed the week in a dreamlike state; heavily medicated. Having strong coffee in the morning to make me sharp and alert enough to make a good first impression, has meant that I've been able to stay awake in some horribly boring meetings, but it has made me a little hypomanic, causing me to be far too outspoken at times, but I think I've got away with it.

I've earned more in a single day in the office, than I would for almost a whole month of being in hospital. That kind of cash does motivate you to get out of bed in the morning, and to stay at your desk with your mouth shut, when really you can't stand being in the office.

You'd think it wouldn't be that hard, being a bit bored, going to a few meetings, talking to people, saying fairly standard things that are obvious. Having the exhaustion of being unwell, plus being in pain and discomfort, make things hard for sure, but in a way, it's been an excuse to be fucked up on drugs for 4 days and get paid an obscene amount of money for the privilege.

It seems fairly clear that if I can dial the intensity down to 4 or 5 from 11 - and the dial only goes to 10 - and ease my way into a gentle routine that I can just about cope with, then I'll be able to blend in for years. There's no reason why I wouldn't be liked and respected. There's no reason why I can't be perceived as doing a great job, even though I'm not doing anything useful. That's the main thing I need to remember: I'm specifically there to not do anything.

Saying the right thing at the right moment - being the smartest guy in the room (as someone I know once jibed) - comes easily to me, and it does unfortunately command a disproportionate amount of respect versus doing some real work instead.

---

I'm not sure which week was more comfortable. Certainly hospital was more physically comfortable, but I was highly stressed about losing my lucrative hard-won contract and being too tired to be able to function when I started work. My job is extremely easy and I anticipate no problems, except coping with boredom and my propensity to blow a fuse with frustration at the snail-like pace that everything moves at.

Sleeping in my own bed has been far superior to the hospital bed, but getting up in the morning is never pleasant. However, my lie-ins were so ruined in hospital - by irritatingly early breakfast and the like - that I have actually been getting ready for work, relatively painlessly.

Commuting is hell, but because I know it's hell, I'm able to impassively observe the shit that I'm going through; detach. Commuting is the price that one must pay, if you wish for your gross income to exceed a year's average salary in the space of just 8 weeks.

How can anybody handle such contrast? It's insane. It's surreal.

How can I walk out of a hospital, against medical advice, and go straight into a brand new job where they're oblivious of just how sick I am and how messed up my brain is by strong medication? Can't they see that they have an imposter in their mix? Obviously not.

That, effectively, sums up the bipolarity of my life. The ups and the downs. The highs and the lows. What more extreme example could I come up with?

Tags: #bipolar #hospital #NHS

This is a story about paying bills and suffering...

How do you explain to a doctor who's just met you, that you need to go to work because you've got rent and bills to pay - your ex-flatmate owes you thousands of pounds and left you having to pay for everything on your own - and you've got debts to service, friends who lent you money who need to be repaid and a looming tax bill that will be a whopping great big lump of cash that you've got to magic into existence before July.

How do you explain that depression and the Xmas and New Year break meant I couldn't work for months on end, and when my bipolar disorder causes an episode of hypomania, I'm liable to march into boardrooms and call all the executives a bunch of cunts... which you can get away with once or twice, but eventually you're politely asked to fuck the fuck off and never come back. How do you explain that I'm good for about 5 or 6 months of hyper-productivity each year, and the rest is a fucked up mess.

How do you explain that the whole process of speaking to a zillion agents, doing a zillion technical tests, having a zillion phone screening interviews and then going to a bunch of face to face interviews, with the associated highs and lows of contract offers and disappointments, being totally unpredictable and completely out of my control. How do you explain that it fucks with my mental health and makes me want to fucking kill myself, to have to go through that shit when I know I can do the job blindfolded with my hands tied behind my back.

How do you explain that the medical advice to not take any chances - belt and braces; assume the worst - would mean losing a contract that I was relieved to get and looking forward to starting. How do you explain that to lose that job would decimate my already dangerously suicidal mental health. How do you explain that I don't need much of an excuse to press the "FUCK IT" button and chuck in the towel. How do you explain that I've got a gun to my head and an itchy trigger finger.

How do you explain that I'm quite comfortable with a certain amount of death risk. How do you explain that I'm quite happy to balance risks against each other; weigh the pros and cons; make an informed decision, rather than just choosing the least risk option.

How do you explain that my life is not about least risk.

If I was about least risk, I'd have a permanent job where they'd give me as much time off as I need to get my health sorted. If I was about least risk, I wouldn't be living my life the way I live it: on the edge. I'd be living some life of boring mediocrity, safely within the white lines. I'd be kind of dead. Sure I'd be technically alive, but I would be dead inside. Boring mediocrity is the worst kind of death imaginable.

Be brave. Take some risks. Hold out for what you want. Don't blink first. Never back down.

It's fucking insane that I had my first day at work today and it went well, when a couple of weeks ago, I was convinced that everything was fucked and I was totally doomed. The only thing that didn't get fixed was my original injury - whatever mysterious shit happened to my dodgy left leg.

I've done my hearts & minds bit; I've done my shock & awe; I've made my good first impressions. Now I'm some way of the way to being able to say "erm, sorry, I might need a day off to get XYZ fixed up in hospital". Before today, I was an unknown quantity. The longer I'm in work doing a good job, the more goodwill I build up, and the more likely people are to be cool about me having to duck out for personal reasons, especially medical shit.

Anyway... my leg hurts like fuck even though I'm drugged out of my mind on tramadol, but working helped take my mind off the pain. I'm going to work and work and work. I need the money and it helps my mental health. Fuck boring risk-free life. Fuck compromise and going for the safe option. Fuck getting dicked over, because the whole working world is designed to break your will and make you feel valueless and replaceable, and get you to accept shit money and having to work for 48 weeks of the year. Screw that.

Do I want different special treatment? Nope. Things are just the way they are and there's nothing I can do about it. I can't pretend I don't have depression and hypomania and a real intolerance of getting an unfair share of the cash, versus the value I create for my employer. I can't pretend like my health doesn't need a bunch of time off work that doesn't fit in the 20 or 25 days holiday allowance wage slave bullshit. I can't pretend like earning my money in bursts, rather than some dreadful slow drip drip drip of relentless never-ending bullshit full-time employment. Work is a four-letter swearword. I'm allergic to boring work.

So arrogant, I know. So insane. So needlessly risky, right? Sorry.

Tags: #career

This is a story about bias...

When you go hypomanic, you overestimate your capacity to work without sleep and food; you overestimate your ability to take on difficult tasks without negative consequences; you believe you can achieve superhuman feats. Often, hypomania can mean hypersexuality and the belief that you're irresistible to the opposite sex. Hypomania brings extreme risk taking, for me, and I'm a big risk taker anyway!

There must be an element of underestimation too. When hypomanic, you underestimate the difficulty of what you're trying to achieve. You underestimate the risks and the consequences of failure. "How hard can it be?" you find yourself thinking, as you get stuck into the quantum mechanics books. I rejected a highly paid career, in favour of building my own business, mostly because it seemed like it would be quick and easy at the time.

Depression has flipped all that on its head. I had an interview with a well known high-street bank earlier in the week. I thought it went dreadfully and I sank into an even deeper depression, because I gave such an appalling performance. I was beating myself about things I said and cringing about holes in my knowledge and experience that the interviewer had exposed. Then my agent phoned me:

"They loved you. They want to meet you again"

I spent the rest of the week dreading this second interview. I imagined all the things that they were going to ask, that would be difficult for me to answer. They were going to haul me over the coals and my incompetence would be laid bare for all to see. It would be embarrassing; shameful. I was losing sleep over it and waking up each day with a feeling of dread.

At the second interview, they cooed enthusiastically at everything I said, and laughed encouragingly at my anecdotes. It was almost as if we were friends and work colleagues, gossiping conspiratorially about the good and bad things that happen in the world of grey suits and office blocks. I thoroughly enjoyed myself.

Afterwards, I thought "oh no!" What if my intuition is wrong again? What if there's an inverse correlation between how I feel like things went, and how impressed my interviewers were?

Depression is almost like a defence mechanism: a reaction to a hostile world where bad shit happens. When the UK voted to leave the EU, and when the USA voted for Donald Trump, I had placed bets correctly on both outcomes, at substantially long odds. I knew I was sad that those things had happened and I didn't make enough money to be happy, but I still didn't really feel anything even though they were awful events. I was prepared for the worst. In fact, I expected the worst.

There are psychological experiments that prove that depressed people are able to perceive the world more accurately, in certain circumstances. This depressive realism is the antidote to illusory superiority. This depressive realism is the antidote to the madness of crowds and a misplaced sense of optimism.

Humans are notoriously bad at perceiving the risk of very real and likely events: stock market crashes, earthquakes and hurricanes. If we were risk-averse according to probable catastrophes, we would steer clear of the Pacific Rim of Fire and the San Andreas Fault, but yet we see insane real estate prices and a concentration of our best technologists, in Silicon Valley and Japan.

London is currently rated by MI5 as at severe threat of international terrorism: an attack is highly likely. When I see huge crowds of people at Canary Wharf underground station, I see a swarm of sitting ducks. There are two vans full of armed police parked nearby, but it doesn't make me feel any safer... it just makes me glad that I don't have brown skin.

On a day-to-day basis, I generally assume I'm going to be blown up by a terrorist, fail to get a job, run out of money, be evicted, be declared bankrupt, never be able to work again, society is going to collapse, there will be riots and looting and the human race is going to retreat into the dark ages of barbarism, religious dogma, superstition and ignorance. It just seems likely, given the evidence.

I might be wrong, but I tend to put my money where my mouth is, and I've sadly been right more than I've been wrong.

I just placed a bet on Marine Le Pen. I hope I lose.

Tags: #depression #bipolar

This is a story about treatment for drug addiction...

Having been to four different rehabs, I feel fairly qualified to give a few insights into what happens behind closed doors. Residential rehabs often hide away in leafy suburbs, where there are large houses that can accommodate human trash: dirty junkies and nasty alcoholics.

"Death's too good for 'em! String 'em up!" I hear you say.

Yes, yes, don't worry. We'll get to the idea that an addict will always be an addict, and that we should just write them off as a lost cause.

Boscombe in Dorset - an area of Bournemouth - is where many councils choose to send their difficult members of society, from all over the country. Supposedly, being by the seaside will be good for recovering alcoholics and former drug addicts. There are certainly plenty of rehabs in the area. Even Paul Gascoigne has found himself shuffling around Boscombe's streets, buying bottles of gin from the local off-license.

Ironically, many years after moving to Bournemouth, I became addicted to drugs and found myself in the perfect place to get treatment for my addiction.

Let's talk a little bit about drug addiction.

Having a 'drug habit' is not the same as drug addiction. 'Experimentation' is not the same as addiction. Partying is not the same as addiction. Addiction will rapidly destroy your health, wealth and prospects. Hospitals, police cells and prisons are the institutional stomping grounds of the addict, on their rapid descent into the fires of Hell. If you're successfully hiding your habit from your friends, partner and boss, then addiction hasn't fully taken hold. Addiction is destructive.

What about detox?

You can't really rehabilitate while the drugs and alcohol have got their hooks in you. If you abruptly stop drinking, you might get the shakes, become delirious, have a fit and maybe even die. If you stop taking heroin, you're going to feel sick and in pain. If you stop taking cocaine or amphetamines, you're going to be unbelievably exhausted and depressed, to the point where you're in real danger of killing yourself.

"You should kill yourself if you're a junkie" I hear you say.

What you haven't understood is that drug addiction is slow suicide. Do you think the addict or the alcoholic isn't aware that their body is getting utterly fucked up, and they're going to go to an early grave?

Detox is about breaking the physical addiction that the body has to drugs and/or alcohol. Detox is about suffering the worst of withdrawal, in an environment where substitute drugs can be administered to make the process safe, humane and tolerable. An alcoholic literally risks death if they stopping drinking without Librium. Is it ethical to ask people to die just because you're hung up on ideas like "willpower"?

There's the term "psychological addiction" that needs to stop being used. It's better to think about addiction like this: why did somebody get addicted in the first place?

"Because drugs are fun" I hear you say.

There are shitloads of people who take drugs all the time but they aren't addicts. Every weekend, raves and nightclubs are packed full of people taking Ecstasy (MDMA). Vast quantities of cocaine gets hoovered up by the eager nostrils of young professionals in cities around the world. Every day, a huge proportion of humanity smokes cannabis or drinks alcohol. Why aren't all these people raging addicts and alcoholics?

If you ever feel like quitting, remember why you started.

Most addicts' lives were truly appalling before their addiction took hold. For sure, addiction doesn't improve anybody's life, but it's not like there's any hope of a better life just because an addict quits drugs. The cycle of petty crime, scoring drugs, getting sick, being hospitalised and being locked up... it doesn't look great, does it? But what's the alternative? Flipping burgers and still not having enough money to make ends meet?

So, it's obvious that the rehabilitation process will only be successful if it can return a person to a better life than the one they were trying to escape from with drugs and drink.

The first rehab I attended was in Bournemouth, situated in a grand house at the end of a sweeping driveway, surrounded by mature pine trees, on a road of millionaires' mansions. The place was full of people from Greater London and the surrounding counties, ejected by their councils to make room for more rich middle-class people.

The biggest issue amongst my fellow rehab residents was housing. Boscombe has vast numbers of crappy bedsits that can just about be afforded with housing benefits. London and the South-East has no cheap housing for undesirable members of society. My fellow rehabbers were gleefully pushed away from where they were born and bred - and their families - because they were written off.

A typical day at the Bournemouth rehab would consist of a breakfast of baked beans, white toast and cheap sausages, followed by many rounds of tea, coffee and biscuits, until the 'therapeutic' day began. There were two or three sessions a day, where everybody sat in a big room, slouching on comfy sofas, vaping on e-cigarettes and slurping drinks. It was supposed to be group therapy, but it was basically just listening to heartbreaking tales of people's children being taken into foster care.

Most of the day in Bournemouth rehab was given over to matters of court appearances, housing office appointments, social worker visits and attempts to obtain various forms of welfare benefits. Almost everybody in rehab was in poor physical health, due to a life of drug abuse. Almost everybody in rehab had some underlying mental health disorder.

Those were the dregs of society, but they were warm and welcoming and they accepted me as one of their own. I was warned by staff to leave my iPhone at home and watch my wallet, but I never felt for a single moment as if my peers were going to rob or take advantage of me. I was somewhat appalled by the staff members' low opinion of their service users, but I suppose there's an element of the gamekeepers and the poachers: anybody who's keeping you under lock and key is kind of fair game, because resentment is going to build about the power that staff exercise over people in treatment.

Over the course of the 28-day program, my fellow rehabbers and I would build up special privileges for good behaviour, such as being allowed to go to Alcoholics Anonymous, Narcotics Anonymous or Cocaine Anonymous meetings. Being allowed to go into town, accompanied by a staff member, was the next privilege that accrued. Then, trips to town were permitted when accompanied by a peer who had attained 3 weeks of good behaviour. Finally, you might prove yourself to be trustworthy enough to go into town alone or as a chaperone.

Transgressions could include: not getting up in the morning, not doing your assigned chores, not attending group therapy, being caught with contraband, failing a drugs test and - most serious of all - going somewhere without permission.

Being expelled from rehab for going into town on your own might not sound like a terrible consequence, but almost everybody was there because treatment was mandated by the courts, as part of parole or an attempt to retain contact with children. Being chucked out of rehab could result in going back to prison, or never seeing your children again. The line between treatment and punishment was rather blurry.

My next rehab was 5-star luxury by comparison. You might have heard of it. It was The Priory.

If you're paying £12,000 for a 28 day stay in the countryside, you'd expect it to be pretty nice, wouldn't you? The Priory certainly delivered on making me feel special and cared after... for a high price. Therapists outnumbered patients, the bedrooms were very well appointed and comfortable, the food wasn't bad and there were luxuries like a gym and grounds to take a stroll around. Nobody was made to feel like a prisoner under house arrest.

Unsurprisingly, my fellow Priory rehabbers were rich compared to the Bournemouth lot. There were six-figure salary earning executives and heirs to multimillion-pound fortunes. Alcohol was also the predominant poison, as opposed to heroin.

One girl was so desperate for a drink, that she filled a mug with hand sanitising gel - which contained alcohol - and sweetened it with orange squash.

Therapeutic days were packed full of yoga, mindfulness, art therapy, educational videos, as well as group therapy. Supposedly following the 12-step program we only had enough time to complete the first two steps. AA and 'aftercare' meetings were held in the evenings at The Priory, which we were encouraged to attend, but most of us just watched DVDs in our bedrooms.

In my final week at The Priory, I asked "what next?"

Turns out that 28 days just isn't long enough to turn your life around. 28 days is just about long enough to get over the worst of the drug withdrawal and start thinking about how awesome the drugs are going to feel after a little break and three square meals a day. Aftercare programs are almost as expensive as rehab and last 3+ months: who's got that kind of money and can afford to take that long off work?

Having been through an acrimonious divorce, sold my house, rescued a tiny fraction of my most treasured possessions, boxed my life up, put everything into storage and suffered a horrible family Christmas, I was pretty fucked up by the whole ordeal. I needed to get cleaned up and straightened out again.

The next rehab I booked, I asked for a detox. I didn't want to have to get up in the morning and go to stupid group therapy. I hadn't slept or eaten properly for weeks. I'd been taking benzodiazepines for months and it was possible that I'd developed a physical dependency that could be life-threatening. I needed professional medical care.

The rehab I ended up in was like an alternative therapy spa break. There was a hot tub - called the sex pond - and a vibrating massage table, with whale music playing in the pitch black room. The main thing I was there for was sleep, food and a doctor on hand in case I had a seizure. Reluctantly, I consented to have acupuncture and to do some mindfulness: both of which I fell asleep during.

Most of the staff were kind and caring, but the guy who owned and ran the rehab was a complete egomaniac who clearly wanted his own cult. This idiot tried to force me to attend 'group' therapy, which was basically him giving interminable boring monologues about the time when he went into a Native Indian sweat tent. Believe me, the last thing you want when you're recovering from a near-fatal toxic combo of drugs, is to be a captive audience for some total moron.

While I was at that third rehab, a man was brought in, smashed out of his mind and covered in red wine. He'd been transferred up from the first rehab I'd been in down in Bournemouth. He'd walked out and gone into town to get pissed. Revolving doors.

I had to get away from that place. It wasn't therapy. Fuck knows what it was. Probably just a bit of respite for both family and addict alike.

Finally, I achieved what I wanted: I got back to London. Bullshit family Christmas was over. Divorce and house sale was over. I was free from horrible destructive relationships and nasty people, but I had picked up an addiction and failed to deal with it. My life to that point had been dictated by people who didn't care about my welfare.

I got myself into my fourth and final rehab: a 13 week residential treatment program in Kensington, West London.

Immediately, the place felt right. Rehabs are supposed to be run by former addicts and alcoholics. The guy who I met on my initial assessment had gold teeth and mean tattoos. The guy who ran the place had a massive scar across his face. These were people whose opinion an addict could respect, because they'd been all the way to rock bottom and back again: they'd seen friends die from overdoses and a lot of other rough shit too.

My most important lesson in rehab was how to do time. I had already been heavily institutionalised by working my whole career for massive corporations - with the limits that full-time work and education imposes on your freedom - but I still had lessons to learn about liberty. It helped a great deal that one of my fellow rehabbers was a young lad who'd been in prison twice by the age of 21.

Rehab is literally a kind of house arrest. You can leave anytime you want, but there will be consequences. It was fun to walk up to the gate (pictured above) and put a foot out over the pavement... just stopping short of taking a single step off the property.

It's not too hard to white-knuckle 3 or 4 weeks of abstinence. The first couple of weeks you'll feel awful, but your body is so abused that it's grateful for the sleep and the food. The next week or two are hard, but you know there's light at the end of the tunnel: you'll soon get your fix. You just have to count down the hours, minutes and seconds.

I don't believe you can rehabilitate somebody in just 3 months. So many things get fucked up when you're an addict. You need to get a job and go back to work, pay your bills and any debts that got racked up, repair and replace broken stuff and get a place to live. Everything got fucked up by my addiction: my shoes and clothes were wrecked and everything in my life was in total disarray.

Imagine being a company director through a period of addiction. My accounts and taxes were all messed up, and important paperwork was lost or misplaced.

What about my CV? How could I explain those periods of absence from work?

What about my routine?

Do you realise how much of your life runs itself on autopilot? You pay your rent/mortgage, council tax, electric, gas, water, sewerage, broadband, mobile phone, home insurance, life insurance, car insurance, road tax, MOT, TV license and a zillion other things. You get up every day, have breakfast and go to work. People know and respect you at work and you know how to do your job. You see your friends and socialise. You have your hobbies and you exercise. Do you think you can put all that stuff back together, running smoothly, overnight?

When you're an addict, everybody distances themselves from you. It's obvious that if you even so much as speak to an addict, they're going to steal your newborn baby and sell it to buy crack cocaine. It's obvious that anybody who injects marijuana or sniffs glue is a worthless selfish nasty person who's out to kill you.

Rehabs are necessary because family and friends are judgemental gossips who offer you useless advice like: "have you tried not taking drugs?" or "maybe you should just stop".

Rehab was a holiday from being judged to be an evil failure, morally weak and simply lacking in willpower.

Rehab showed me that I do have the willpower to stop taking drugs whenever I want. Rehab showed me that I'm not weak and I'm not powerless.

By the time I finished my four stays in rehab, I still hadn't run out of money, I had never been arrested, locked up, hospitalised or homeless. I had been nowhere near rock bottom.

I never actually reached rock bottom though. I experienced things that were awful at the time, but I needed to have those experiences.

Stopping drugs is the least of anybody's concerns. Drugs actually help when your life is unbearably shit. Just ask anybody who suffers from depression or anxiety if they'd like to give up their antidepressants or tranquillisers.

Obviously, I'm glad I never got a criminal record or sustained any life-changing injuries, but maybe I needed to come close. Being locked up in a police cell a couple of times and spending weeks in hospital, were not things on my bucket list, but I think they were necessary experiences to complete my adventure.

When the time was right, I got a place to live, a girlfriend and a job. Without those things, life isn't worth living, but equally, those things don't create recovery.

Bullying was relentless and intolerable at school for 11+ consecutive years. Nothing I did was ever right or good enough for my parents. My parents' relationship was appalling - full of verbal abuse and hostility - and I got involved with a girl who physically and mentally abused me, who I stayed with for many years. I got so used to broken, abusive relationships. Do you think that kind of stuff can get healed by 28 days in rehab? Do you think that all my problems came about just because I sniffed a bit of white powder?

You might think I act normally and sound perfectly reasonable, rational and able to string a sentence together, but it's the opinion of the medical professionals who've treated me, that I'm dealing with depression, bipolar and even borderline personality disorder. Clearly, I've had many episodes of mental health issues... including a period of many years before drugs even entered the picture.

This is called dual-diagnosis: the clusterfuck that is both addiction and mental health issues combined. The tail that wags the dog.

I've cherry-picked the best treatment and the most humane and compassionate approach to fixing my addiction and now I've arrived at the situation where - joy of joys - I'm 'just' dealing with depression and anxiety.

I'm itching to press the 'fuck-it button' because life is intolerably stressful, unrewarding and my depression is refusing to lift. What's the solution? Drugs? Been there, done that.

Rehab taught me how to quit drugs cold turkey. Rehab taught me that I'm in control, so long as my life seems worth living.

Addicts and alcoholics are taught on the 12-step program that they're powerless. I'm certainly powerless, but it's over things like whether I get offered a decent job that pays enough money to be able to live. Being powerless to influence the things that really matter to me in life, such as whether I can live with dignity or not, creates incredible stress and anxiety.

I can choose to stop drinking or taking drugs, but why would I, if the alternative is ESA assessments and having my inadequate welfare benefits cut off by somebody who's not even a qualified doctor? Why would I quit, if I have to prostitute my mind and body, to go and work some pointless bullshit job for somebody promoted into a position of incompetence, if I'm 'lucky' enough to be offered a pittance to do the job?

It's so hard to escape the things that drove us to drink & drugs in the first place.

Rehab was important for me to forgive myself for things that weren't even my fault. I didn't make a mistake, getting addicted to drugs: it was a deliberate act and I'd live my life exactly the same if I got to start over from scratch. Rehab was respite from those who wish to scapegoat sick people.

Fundamentally, rehab connected the 'clean' and the 'dirty' world and allowed me to see that they're two sides of the same coin.

Every saint has past and every sinner has a future.

Tags: #addiction #drugs #alcohol

This is a story about a year in review...

Are you sitting comfortably? Good. Then I'll begin.

For anybody following along at home, there are a few highlights buried in the 600,000+ words I've written to date. There's some required reading for anybody making a study of my psyche.

I decided I wanted to write something more popular and so I drew some graphs explaining mood disorders, like bipolar. It was my most read blog post of 2016.

Along the same lines, I wrote about the onset of depression and attempts to treat it.

I wrote a letter to myself.

I was an inpatient on a secure psychiatric ward, so naturally I came up with a bizarre thought experiment. I even did a drawing of my quantum suicide experiment.

When I was bored out of my mind at work one day, I wrote a short story called The Factory.

If you ever wondered why I have a semicolon tattooed behind my ear, this is half the story.

Everything you never wanted to know about addiction.

But, is it art? This is a good example of me rambling while strung-out. I'm surprised I could even see the keyboard. I just like the title and it's a bit of a private joke, sorry.

There's a 3-part account of the time I lost my mind and started hearing voices.

That'll probably do. There's a lot to get through there.

Of course, there's also the first draft of my novel if you have time to read 53,000 words. I'm going to start editing it tomorrow, so any feedback would be gratefully received.

I've slightly bent the rules, because I have a bit of a warped sense of time, but these are all significant pieces of writing for me, that I associate with the events of 2016.

Happy New Year's Eve.

Tags: #writing #bipolar #depression #suicide #physics #addiction #mentalhealth

This is a story about compatibility...

Very often, when you're acutely aware that there's something that you need to avoid crashing into, you'll end up staring at it, unable to tear your eyes away. When riding a board or a bike, flying, driving or otherwise in motion, you tend to go in the direction you're looking. If you want to avoid a crash, you should look at a spot away from danger.

Is this the reason why we don't talk about taboo subjects, because we're worried about tempting fate? We turn our back on the ugly truth and try to pretend like everything's OK.

My Christmas stocking included some bath salts.

Clearly, Santa has the same dark sense of humour as me. That's great. I think humour is a fantastic way to exorcise the demons of the past. First comes talking, then understanding and finally you can laugh and joke about a topic that was originally quite painful and difficult to remember. Repressing memories and walking on eggshells is no way to move forward.

If we don't have honest conversations where we can talk about how we really think and feel, then we build up a load of sensitive topics. Secrets and lies lead to paranoia and weak relationships. Keeping schtum about my parents' drug use - when I was a child - was too much of a burden. Writing openly has been liberating and has allowed me to move on from shame and regret, to regain my self-esteem and confidence.

I remember a desperate scramble to cover up my admission to The Priory. My psychiatrist had made a referral to a "private hospital" for treatment of an acute episode of bipolar disorder. All perfectly true, but there was a certain economic use of the truth. What would most people think, if they found out that I was spending weeks in the UK's most notorious treatment specialist for drug & alcohol abuse? They would leap to the wrong conclusions, surely?

It's so bloody exhausting keeping up appearances. One must be aware of how things can be [mis]interpreted and people aren't likely to share their true thoughts and feelings: "better keep him away from the kids if he's mentally ill" or "I bet he's a raging alcoholic behind closed doors if he's been in The Priory".

We're brought up to believe that our reputation is like a balloon: one little prick and it goes pop. We're scared to take time off work, because we'll have gaps on our CV that need to be explained. We're scared to share details of our private lives, lest our employers decide we're unreliable and judge us on preconceived notions. Who wants to work with a madman?

When it comes to dating, the same applies. Who wants to date somebody with flaws; defects? Who wants to take a risk on a ticking time bomb; an unsteady ship? And so, I should have found myself unemployable and undateable. "Take your pills, sit in the corner and shut up" says society.

However, if you ever meet me in a work or social context, you may gain the [false?] impression that I'm pleasant company: a healthy, happy and capable member of society, engaged in productive endeavours. Strangely, you might have the wool pulled over your eyes so much that you actually mistake me for a normal human being.

Surely this is thanks to the excellent medication that I take?

Well, no. I don't take any medication. I don't do therapy. I haven't had a course of electro-convulsive shock treatment. I don't even have a psychiatrist at the moment.

"But you're going to murder everybody if you don't take your pills."

Yes, that's right. I'm your worst nightmare. I'm out there, on the dating scene, luring unsuspecting vulnerable young women into my web. I'm a dangerous fantasist; a con-man. I'm so good at living a lie that I've constructed an elaborate fable that looks, smells, tastes and sounds very much like an authentic real life, but it's all fake. It can't be real. What about the secrets we now know?

If you take your secrets and turn them into jokes, you defuse that ticking time bomb... or at least that's my working hypothesis.

I certainly feel a lot happier knowing that I've met somebody with enough of a good sense of humour to make a joke on Christmas Day about my chequered past. I feel less sensitive, paranoid and insecure than ever before. I feel like I'm myself, and that's OK.

Maybe it's just a getting old thing: the realisation that we're all flawed in some way. We're all human. We all have weaknesses and strengths, and we all have history; baggage even. It seems better to wear my heart on my sleeve than present myself as some whiter than white, holier than thou saint who never put a foot wrong in their life.

I doubt I'll ever unify my professional and private identities, but I certainly don't regret jettisoning the traditional approach to dating. Honesty seems to have been the best policy in this case.

Tags: #dating #sex #bipolar #addiction

This is a story about data collection...

Here's a graph of my daily step count for the last 18 months, as recorded by my iPhone. I practically always have my iPhone in my pocket, so it should be fairly accurate.

As you can see, there are big gaps.

I've added a 14-day moving average to the graph too, which is the dotted line.

How do I interpret this?

The optimistic interpretation is that I was overdoing it last year and had a big crash. There's a little gap in the graph that you can hardly see at the end of October. I was in hospital then. This year got off to a shit start and then improved and stabilised, but I still had a hiccup at the start of October. The graph is much flatter on the right hand side - on average - than it is on the left hand side. Perhaps the volatility in my life has been reduced.

The pessimistic interpretation is that there's a strongly downward trend. There are also signs of repeated periods of inactivity: shit times. Perhaps there's a cycle that would be clearer to see with more years of data.

I could bring in my Android phone data which covers the period before this, and maybe some other data sources too, but it was a pain just to produce this. 

Interestingly, if you own a smartphone, you should be aware just how much it's tracking you all the time you carry it around!

Tags: #bipolar #mentalhealth #depression #computing

Contents

Chapter 1: The Caravan

Chapter 2: Invisible Illness

Chapter 3: The Forest

Chapter 4: Prosaic

Chapter 5: The Van

Chapter 6: Into the Unknown

Chapter 7: The Journey

Chapter 8: Infamy

Chapter 9: The Villages

Chapter 10: Waiting Room

Chapter 11: The Shadow People

Chapter 12: Enough Rope

Chapter 13: The Post Offices

Chapter 14: Unsuitable Friends

Chapter 15: The Chase

Chapter 16: Self Inflicted

Chapter 17: The Holiday

Chapter 18: Psychosis, Madness, Insanity and Lunacy

Chapter 19: The Hospitals

Chapter 20: Segmentation

Chapter 21: The Cell

Chapter 22: Wells of Silence

Chapter 23: The Box

Chapter 24: Jailbird

Chapter 25: The Scales

Chapter 26: Descent

Chapter 27: The Syringe

Chapter 28: Anonymity

Chapter 29: The Imposter

Chapter 30: Wish You Were Here

18. Psychosis, Madness, Insanity and Lunacy

"How did it go at the hospital?" Lara asked.

"Dr Asref has written me a prescription for two medications and he's made the referral to the crisis team" Neil replied.

It was the third time he'd visited the small community hospital as an outpatient and the second time he'd met the psychiatrist. Lara had never even heard of the hospital, even though it wasn't far from their home. The hospital mainly dealt with mental health patients.

The first appointment Neil had as an outpatient was for an assessment with a mental health nurse, 8 weeks after his doctor had made the referral to psychiatric services. He'd spoken to the nurse for about 90 minutes, while a trainee listened in and furiously scribbled notes. The nurse was kind and easy to talk to. He seemed to know exactly what kinds of things Neil was going through and was able to second guess what Neil was about to say, which made Neil relaxed and chatty for the first time in months.

The second appointment was with the consultant psychiatrist. He was not particularly conversational and seemed to be almost rambling to himself about various diagnoses and treatment regimens. He had presented Neil with a stack of photocopies of information on various medications and the consultation was suddenly over. Neil was confused and a little cut adrift. Asking what happened next, he was told to wait for another appointment where he could say which medication he'd like to try.

"Did you get the mirtazepine?" asked Lara.

"Yeah, but the consultant said I should take venlafaxine with it"

"Two medications?"

"That's right" said Neil, rattling two boxes of pills at Lara with a grin.

He seemed happier but his behaviour was worryingly erratic and childish. He would say and do regrettable things with no care for the consequences, or he would burst into tears and leave things in a mess if anything didn't go well.

One day, Neil had suddenly decided to demolish the garden shed with the supposed intention of building another one, but he hadn't purchased any materials to construct a replacement. Lara found him in bed when she got home, dreadfully upset and stressed about what he had done. That evening, she had to move the contents of the shed that could be damaged by rain and store them in the spare bedroom, while Neil cowered under the duvet.

His energy levels had improved, but often he would stay awake all night on the Internet. When Lara came home he would want to tell her about all the things he'd found out about UFOs, conspiracy theories, quantum physics, stock market trading and chaos theory. Neil's eyes would be flashing wide with wonder and excitement, but his thoughts were jumbled up and he was talking so fast she could only pick up every third word. He would get frustrated that she wasn't understanding and storm off in a huff.

"Did you get a new diagnosis?"

"He can't make up his mind. He said he's still convinced that it's major depressive disorder, but he also mentioned borderline personality disorder and bipolar disorder. He wants to treat me as if it's treatment resistant depression" Neil replied.

"Who are the crisis team?"

"Well, it's a number to phone if I'm thinking about hurting myself"

"Are you still having suicidal thoughts?"

"Not really. I'm too busy with my project"

Since losing his job Neil had been obsessed with the idea of creating an out-of-the-box security system bundle that would include wireless CCTV and motion sensors. The house had become increasingly full of equipment from Far-East manufacturers that Neil was tinkering with. Lara worried about how much it was all costing. How did he intend to sell this system if he could even make it work?

"Can I have the crisis team number?"

"Yeah. I'm supposed to give it to you and family so they can phone if they're worried about me" he replied. "And to any employer, but I don't want work sending round their goons to spy on me" he spat.

Neil's employer had become concerned that he hadn't turned up for work and had called his emergency contact - Lara - to see if he was OK. Lara was working and hadn't been able to answer her mobile, so the police had been phoned out of concern for Neil's welfare.

Neil had ignored the knocking on the front door, hoping that the police would just go away. A neighbour let the police into the back garden and they jumped over the fence. Neil heard the officers shouting at the back of the house and knocking on the back door. Yelling from the back windows, the police had insisted he come to the door so they could see he was OK. Neil had begrudgingly complied.

Lara was weary from constant worry about how Neil. She was very much relieved that there was now somebody else to contact in an emergency.

"People care about you, Neil." said Lara.

"Why are you using my name?"

"What do you mean?"

"Is there anybody else here? Why have you got to refer to me by name?"

"I don't know what you mean"

"You're so fucking patronising" said Neil, storming off.

Lara could hear him go into the box room upstairs. She knew he would be pretending to fiddle with stuff, brooding angrily. He would probably sleep in the guest bedroom again, even though it was packed with junk and the bed was covered with stuff from his project. Perhaps he would be awake all night surfing the Internet, following some thread that captivated his interest. They were definitely not going to have any further cordial discussion tonight.

Picking up the tablet on the coffee table - an impulse purchase that Neil had made - Lara searched the Internet. Typing "borderline personality disorder" she wondered what borderline meant. Did it mean that it was a milder form of the illness? As she read the symptoms she decided that it didn't really seem like Neil at all. They'd been together for so many years and they were engaged to be married. The part about unstable relationships didn't seem to fit at all.

Searching for "bipolar disorder" she came across a number of symptoms that sounded much more like Neil's recent behaviour. Rapid speech and disordered thinking, irritability, spending money and risk taking. She read the word "hypersexuality" and felt a knot in her stomach. He'd shown relatively little interest in her recently, but she knew he was watching more and more pornography. With a kind of shamelessness she heard him masturbating at night and found discarded tissues littering the floor. He made little effort to hide his Internet browsing history.

"Delusions of grandeur" and "psychosis" were things that were a little hard to place. Lara had worked a night shift and she heard him on a phone conference call during the day with his boss and human resources. Neil had ended up yelling about how he knew more than "all of you put together" and how he would create a competitor company that would "crush you like a bug". She knew that he had become frustrated and enraged by the conversation which had been ostensibly about sacking Neil, but his crazed response was completely out of character. She put it down to the extreme stress of the situation.

He was withdrawn and distant. It seemed inconceivable that he would be hearing voices or suffering with hallucinations. In her eyes, Neil was still strong, rational, intelligent and in control. She trusted him. They had always been open with each other about household finances and shared the burden of balancing the books. Even though she was cross that he'd thrown away his job, she thought that it was necessary for Neil's health and that he'd easily get more paid employment when he was ready to go back to work. They had enough savings to cushion their loss of earnings in the short term.

Two days later, Neil had disappeared.

"What do you think I should do?" Lara asked on the telephone.

"Have you rung the crisis team?"

"No. I don't know what the best thing to do is"

"Well, he didn't like it when the police got involved" Neil's dad replied.

Neil's dad was a practical man and had become a useful person to phone when she didn't know who else to speak to. Lara's parents were very sympathetic towards Neil, but it meant that they tended to share and exacerbate her worries rather than offering simple clear-cut advice.

The crisis team had promised to arrive within an hour. That was early on a Saturday morning. Neil had returned home in the afternoon, but had barricaded himself in the box room and refused to talk to Lara. Some eight hours after she had originally got in contact, there was a knock at the door.

"Hello, Lara?" asked a balding man, slightly overweight and wearing rimless spectacles. A mousey woman waited nervously behind him in the darkness, clutching a bulging ring binder.

"Yes, Hi"

"I'm Dan. This is my colleague Sue. Can we come in?"

"Please. Please do. I've been waiting all day" said Lara, ushering the two visitors into the hallway. "Neil, there are some people here to see you" she called upstairs.

Dan and Sue stood awkwardly and Lara gestured towards the snug, where they entered and sat down.

"Sorry... Lara was it?" Dan said.

"Yes, Lara"

"We had a number of urgent calls come in."

"That's fine."

"I'm a social worker and my colleague Sue is a nurse. We're here to make an initial assessment and see how we can help. Can you tell me what's been going on? It's Neil isn't it?"

"Yes, it's Neil I phoned about."

Lara noticed that Neil was hovering by the door.

"Ah Neil. These people are from the crisis team. They're here to see if you're OK."

"I'm not" said Neil, half entering the room but not sitting down, surveying the scene with distrust.

"Hi, Neil. I'm Dan. This is Sue" said the social worker, leaping to his feet and offering his hand. Neil took it and shook it. Sue half stood up, but remained quietly in the background. "Can you tell us what's been happening with you?"

"I can't cope anymore. I feel desperate. Suicidal"

"I'm sorry to hear that, Neil. How long has this been going on for?"

"On and off for months. It got really bad this week."

"OK, I need to ask you some basic questions." said Dan, now looking at Sue. Sue opened her binder and readied her pen.

"Do you know what day it is today?"

"Yes. It's Saturday the 20th of August, 2016."

"Do you know who the Prime Minister is?"

"David Cameron. No, er, I mean Theresa May"

"OK, and where are we?"

"We're in my house"

"Are you hearing or seeing anything unusual. Any voices?"

"No"

"Are you receiving any instructions, do you believe you are able to make people say or do things you want?"

"No"

"Is there anything you're anxious or concerned about right now?"

"I'm worried I'm going to kill myself"

"OK. Thanks, Neil" said Dan, glancing at his colleague. "It says in my notes that you've never been in hospital, because of your illness. Is that right?"

"Yeah, that's right. I've never been in hospital in my life except as an outpatient."

"Well, I think the safest place for you right now is at home. Where your partner and family can keep an eye on you. The crisis team can come and check on you, to make sure you're OK. How does that sound?"

"I want to die"

"OK well psychiatric hospitals are pretty crazy places. You wouldn't get a lot of rest there. The staff don't have a lot of time to help everybody. You'll be much better looked after at home. Do you have anything to help you sleep?"

"I've got mirtazepine. That makes me really sleepy"

"That's great. Do you know where it is?"

"It's on my bedside table."

"Lara, do you want to get it for Neil? And a glass of water" Dan prompted.

While Lara was gone, Dan and Sue sat quietly smiling and then Sue's mobile phone rang. She stepped out of the room and let herself out of the house while taking the call.

Lara returned with the medication and a drink.

"OK, Neil. What you're going to do is take your usual medication and then we're going to come and see you tomorrow and the day after. We're going to come and visit you here at home every day until you're feeling better."

Sue now let herself back into the house and popped her head around the door.

"Dan, we've got to go."

"Alright, sorry it was such a flying visit, but we have to attend to an emergency situation" said Dan, standing up and smiling. Pausing for a moment and taking on a more serious expression he said "everything's going to be OK. Hang tight. We'll be back tomorrow."

"OK, thanks" said Lara, following Dan to the door. Sue was already outside, eagerly wanting to get away. Neil was sat on the sofa, a little dumbstruck by the whole experience.

The front door closed, Lara returned to the snug.

"That went OK. There'll be somebody coming to check on you every day. That's reassuring isn't it?"

Neil simply looked at her blankly and then went upstairs to bed.

Next chapter...

This is a story about a pill for every ill...

There was a young man who swallowed a lie, about how hard work and loyalty to his company would make him successful. It left him exhausted and with depression, that wiggled and jiggled inside his brain. I don't know why he swallowed the lie. Perhaps he'll die.

There was a young man who swallowed 150mg of Bupropion - a fast acting antidepressant - to cancel out the depression and exhaustion, that wiggled and jiggled inside his brain. Perhaps he'll die.

There was a young man who swallowed 5mg of Olanzapine - a mood stabiliser - to cancel out the hypomanic highs that were created by the Bupropion, that was supposed to fix the depression and exhaustion, that wiggled and jiggled inside his brain. Perhaps he'll die.

There was a young man who swallowed 15mg of Mirtazapine - another antidepressant - because the Bupropion wasn't working so well any more on its own, to fix the depression and exhaustion, that wiggled and jiggled inside his brain. Perhaps he'll die.

There was a young man who swallowed 25mg of Lamotrigine, to raise his seizure threshold so he could take more Bupropion, stabilise his mood more and as a third antidepressant, to fix the depression and exhaustion, that wiggled and jiggled inside his brain. Perhaps he'll die.

There was a young man who swallowed 10mg of Diazepam - an anti-anxiety drug - because by now he was pretty jittery from all the damn drugs, that were supposed to fix his depression and exhaustion, that wiggled and jiggled inside his brain. Perhaps he'll die.

There was a young man who was going to swallow 2,000mg of potassium cyanide, to end the depression and exhaustion, that wiggled and jiggled inside his brain. Of course he would die.

Top picture, from left to right: Mirtazepine, Olanzapine, Bupropion, Diazepam, Lamotrigine.

Tags: #depression #bipolar #medication #suicide #career