This is a story about burnout...

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

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

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

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

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

Something had to give.

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

My sister gives my niece a brilliant life.

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

Life is hard as a young person.

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

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

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

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

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

Condoms are a good thing.

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

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

This is a story about observation...

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

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

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

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

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

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

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

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

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

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

Nice, isn't it?

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

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

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

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

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

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

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

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

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

This is a story of a culture that is destroying people's mental health and lives...

Management by balance-sheet, bean counters, spreadsheet jockeys and "yes" men and women are joining a set of executives who do everything in their power to abstain from any of the hard work and responsibility that is necessary in the world.

We have all heard horror stories of people being sacked by text message. In fact, skilled workers, professionals, have been steadily robbed of their worth and self-esteem since powerful rich men, behind closed doors in gentleman's clubs were allowed to asset strip British industry. The practice continues today, as companies are allowed to be headquartered in the UK, but are offshoring all the jobs for cost reasons, and are draining the wealth of the nation.

Europe is fast becoming little more than a tax haven for global businesses, with billions, if not trillions of dollars of profits being pushed through legal entities that have little reason for existence other than to evade the taxes that these companies rightfully should pay to the countries that they have extracted the profits from.

Luxembourg is the most obvious example, but Ireland has recently jumped on the bandwagon. The amount of tax that is paid by Vodafone (group HQ is Luxembourg... funny that, considering that Newbury, UK is where I thought they were founded?) or Apple and Amazon (taxed via Irish legal entity... I know Apple Maps is rubbish but it's a long way from Silicon Valley?) is a pittance. The amount of profits that these companies make is disgusting, versus what they pay as percentage of their gross profits.

However, maybe there is a good reason for all of this?

When I became unwell, and asked good old UK government for support - as somebody who has always paid my full taxes, has no offshore bank accounts, has never tried to evade or avoid taxes - I found that there was worryingly little of a safety net there.

I went to my doctor (General Practitioner, or GP for short, here in the UK) and had a 30 second conversation about what was going on in my life.

"Have you heard of Fluoxetine"

Well, yes, I have heard of Fluoxetine. It's the generic name for Prozac, which is an antidepressant from the 1980s. What the hell is my doctor doing dishing out 25 year old pills to somebody who they have taken 30 seconds to get to know? Well, we know that the NHS is extremely cost pressured, given that we have to give such large tax breaks to profitable billion dollar companies and make sure that we don't take too much inheritance tax from dead multi-millionaires. Oh, and we need nuclear atomic bombs too. Yes, we need to make sure we can always annihilate every person on earth at the flick of a switch.

Luckily for me, I walked away from a course of powerful psychoactive medication, that has been proven in long-term studies to be less effective than placebo. It also takes 6 weeks to take effect. My episodes of depression tend to be about this long anyway. Also, SSRIs make you fat and destroy your sex life, as well as blunting your emotions and generally making your sh1t life even more sh1t, but you'll be too doped up to even realise, unless you ever emerge from the chemical haze.

I'm pretty upset about this, if you hadn't picked up on that.

Another thing that is very annoying is that, as anybody who takes a few more minutes to get to know me will tell you, I'm certainly not what you might term unipolar. My life is littered with examples of radical mood swings. Catch me at a certain time, and you will see my racing thoughts, pressured speech, lack of sleep, intolerance of dimwitted twits, and evidence of my wacky projects.

One day I whimsically decided to knock down my shed, order a load of wood from a sawmill and build a giant beach hut summer house thing in my back garden. Somebody suffering from unipolar depression does not normally do such a thing, according to the DSM-IV/V.

I had to learn all about Google Sketchup, so that I could design the thing, learn about different types of timber, wooden building construction techniques, roofing techniques, planning laws governing outbuildings, estimate how much I would need in terms of materials, locate a sawmill, find a roofing supplier, get a chop saw, nail gun and roofing blow torch (the most fun tool of all).

At no point did any of this seems slightly strange or beyond my capabilities, as a spotty IT nerd who did little more than turn coffee into software for a living, by pressing buttons on a computer, in a comfortable air-conditioned office.

Working around-the-clock seemed perfectly normal too. I remember one neighbour pointed out that the sound of nails being hammered at 9pm was not helping him to study for an English exam... but how are you supposed to hammer quietly? I did try and hammer more considerately, but it seemed more considerate to simply get the project done as fast as possible (I think I took 3 days to complete the structure) given that I didn't know the sleep patterns of everybody within earshot.

So "Mega Shed" as she was affectionately known, appeared at the bottom of my garden in under a week, at a cost of £700. An ordinary week in anybody's life? Well it's hard to judge from an internal point of view, as you can't step out of your own mind and view yourself as others would.

Naturally, friends, colleagues and family are always impressed by a person's industriousness and ingenuity, so I saw no real reason to back off the gas. When the world rewards you for efforts, this reinforces your belief that what you are doing is sustainable.

I then decided to sit in my garden and read a huge stack of books on Quantum Mechanics. This then progressed to me reading every paper that looked interesting in Cornell University's online archives. Naturally, I then started emailling a bunch of the authors, and getting engaged in particularly interesting email based discussions with people around the world about De Broglie's Matter Waves (Pilot Wave theory) which looked a hell of a lot more elegant than all that Standard Model crap that couldn't be unified with General Relativity.

Instead of being discouraged, I found academics to be kind, indulgent and generous with their time. I took things too far, of course, and wrote a paper on the measurement of collapsing Quantum States in an entangled system, spread over a physical space larger than the light-cones of the particles being measured. Standard Quantum Eraser type stuff. I even tried to get it published. Lolz.

At no point did anybody actually directly say to me "you seem to be as mad as a box of frogs on acid with lasers coming out of their nostrils" so I kept digging myself into a deeper and deeper thought hole until I sank into another depression, with no idea what had just happened to me.

The thing is, it's fairly entertaining, enthralling, to watch somebody who is hypomanic. In our age of Big Brother and myriad reality TV shows, we seem to think that it's OK to be a spectator in somebody's spectacular life.

We seem to think it's OK to sit back and watch somebody go absolutely bezerk. It's that person's fault, right? Or maybe it's not their fault, but it's not your responsibility... that would be somebody else? Maybe doctors? Maybe the police? Maybe the council? I don't know... I'm just going to watch - because this is just too horrible to miss a minute of - and I can't tear my eyes away this is just so awful, somebody should do something about it, but not me, and not yet because I'm really getting into this. Brilliant. Who needs TV anyway?

I don't think that I'm not personally responsible for getting unwell, but I don't think that people know how to help, really. I don't think that people are particularly incentivised to help either. We have a very isolated existence. We don't know our neighbours, we don't trust strangers, we ring the police to deal with things that we used to work out between ourselves, we expect our doctors to give us magic beans to cure all society's ills.

So, today is World Mental Health day and World Homeless Day. I can tell you, from personal experience, that mental health issues can lead to homelessness. When I was discharged from hospital after a suicide attempt, I was given 2 weeks accommodation, and I was expected to use that time to arrange my own accommodation. I went to the council offices with a letter from my doctors, explaining that I was extremely vulnerable and that I should receive urgent assistance. The person I spoke to then went on holiday and that was the last I heard of it.

I don't blame the system or the people. People are trying to do the best that they can, but there are so many people in need of assistance, and so little money, because we are fixated on helping the rich to get richer, rather than supporting the most vulnerable members of society. I'm not even angry about it. Living in the Royal Parks and on Hampstead Heath was an eye-opening education for an extremely highly qualified and well educated guy who fell on hard times. If you think I chose to become homeless, then f**k you, you ignoramus.

Yes, I could have sold my camera, but I wanted to document what happened to me and I already sold all my other possessions to support myself. When will you be satisfied? Sell my clothes? Locking me up for being naked will be expensive (June 2014)

Tags: #mentalhealth #bipolar #depression #homeless #sex #banking #career #london #culture

This is a story of exploitation...

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

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

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

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

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

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

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

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

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

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

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

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

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

In addition to this, there are some other rules:

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

And finally:

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

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

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

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

Tags: #career #mentalhealth #bipolar #sex