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Oversharing

5 min read

This is a story about being laid bare...

Phone box

My Facebook friends are a mish-mash of former colleagues who have become friends, former colleagues, old friends, acquaintances, close friends, my accountant, random people who I friend requested, random people who friend requested me, and some people I've had business dealings with. In short, many of my Facebook friends are not friends at all, and some of them are quite powerful and influential, and it would be a bad idea to make a fool of myself in front of them.

Facebook is a place where I've let various crises play themselves out, with little to no filtering. It's been fairly apparent to anybody who's friends with me on Facebook that I've had a major life crisis, which has not been handled with elegance, dignity and poise. It's fairly apparent on Facebook that I've completely lost my mind, at times. It's been fairly apparent on Facebook that I've been through some dreadful adversity and horrible events.

There's a feature on Facebook which shows you "memories" of things that happened "on [the anniversary of] this day". This feature never fails to remind me of just how utterly insane I've been in the past, during various crises. There are moments from 2015 and 2017 which are particularly cringeworthy, although remarkably I was working during a lot of that time. I look back and I think "sheesh! My mental health was in a really bad state".

I keep worrying that my perceptions are all warped and that I'm actually just as mad as ever, but I'm unable to see it in myself. I keep worrying that I'm repeating the same old pattern - the same episodes of mental illness - and I'm not really recovering at all. I do have very good evidence, in the form of those Facebook memories, that my state of mind is completely different, and I'm much more sane, healthy, in-control and generally sorted out... but I worry that I've lost perspective and I'm unable to perceive my own madness correctly.

If I'm having a moment of sanity, I wonder if it's only temporary and I'm about to be plunged into insanity at any moment. Sure, I can spot some of the same problems: the propensity to do crazy things, spending massive amounts of money and zooming around the world in airplanes, plus the ever-present thoughts of suicide. I can see that I'm inflicted with the same mental illness I've had all my life - bipolar disorder - but I don't know whether it's going to become unmanageable, or whether I've got it back under control. I had my bipolar under control for the vast majority of my life, so it seems feasible that I'm managing my illness, like I always managed to do, but I do worry that life will get the better of me and I'll be unable to cope.

I regularly examine past behaviour, and although I understand what I was thinking at the time, I think differently today and I would act differently. I can't justify my past behaviour and I'm very embarrassed, full of regret and remorse, but I know that in the midst of a fully-blown mental health crisis, a person doesn't make the same well-informed, well-considered and carefully pre-planned correct choices. This is not to defend my past actions or excuse them... merely to explain them, although it pains me that it was the same me - physically speaking - who said or did things, it doesn't seem like it was me at all. I know things made sense to me at the time, and I can understand the illogical thinking which led to my behaviour, but I can also see the strange flaws, just as we might imagine a recovered paranoid schizophrenic might come to realise that the voices they heard were not real.

I live a strange existence, where I'm hoping to break out of the perpetual nightmare of recent years, and to re-enter civilised society. I commute to the office, I feed my cat, I hang out with my girlfriend, I go on holiday - my life seems very normal, but I live with the knowledge that things went very badly wrong during a series of dreadful crises, and I struggle to reconcile that with the ordinary, pedestrian, plodding, calm, normal, humdrum, workaday, boring, predictable, civilised and obedient lives lived by most people, and especially the people in my middle-class peer group; my colleagues etc. There is no way I can talk casually about the more lurid and colourful aspects of my past in the office, for example - these are things which are simply not talked about, because my sheltered colleagues would be afraid of who I am - or rather who I 'was' - if they really knew the stuff I've been through, even though they have spent an extraordinary amount of time in my company and they know who I am.

That 'was' aspect suggests I'm some kind of reformed man, which of course I am not. I'm the same person I've always been. My circumstances dictate everything, and life is very different when it's nonstop crisis. My circumstances have improved, so commensurately my life has improved, and my life looks very much like anybody else's, although some of my relatively past is very different.

I'm in danger of getting defensive, so I'm going to stop now. I've shared enough.

 

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I Love My Job

5 min read

This is a story about inconsistency...

Apple Mac

I often forget that I have a mood disorder - bipolar - because I'm pretty functional and unimpaired, but clearly I'm not neurotypical. Depression seems to my 'usual' day to day mood, or perhaps it just feels like that because depression seems to last interminably long and can't go away soon enough, but hypomanic episodes are all too infrequent and very welcome.

My hypomania has, as usual, produced some useful results, in that I've been able to make fantastic progress at work on the project I've been involved with.

I was feeling disheartened about how much mess had been made and how the 'purity' had been lost of the wonderful system that I had a major hand in shaping, leaving things less-than-perfect. Then, I spent ages hacking away trying to make things better and tidying everything up, and I'm happy again; I feel like I can be really proud of my work.

Why anyone should expect me to feel consistent about things is dubious, given my mood disorder. Of course I'm going to say "I hate my job" on one day and "I love my job" on another. I wonder if the same can be said for my feelings towards life. I definitely have suicidal thoughts on a very regular basis, but it really wasn't very long ago that I had the holiday of a lifetime, which really was amazing, and I have some great things in my life like my girlfriend and my kitten, plus some great friends and a generally pretty enviable lifestyle... although of course I'm working hard and taking some pretty grim jobs in order to pay for that lifestyle.

I can decide whether I love or loathe creating software. When I wrote some iPhone apps, I never ever wanted to touch the code ever again once they were released. I was not at all proud of my code and it was quite arduous making those apps. In fact, I really got to scratch the coding itch that summer, writing code for 16 to 18 hours a day.

I think creating software can be a mood rollercoaster. Sometimes it's difficult and sometimes it's easy. When it's difficult, it can be really difficult and it can feel like a problem is impossible, but anyone who's a good software engineer will persevere and overcome horrible technical obstacles. When you solve a really hard problem, it's a major triumph, but it's emotionally taxing to have that range of mood fluctuation as an integral part of your day job. Many software developers will retreat into their comfort zone, only doing things in ways that they're familiar with; refusing to work with unfamiliar technologies, where they'll suffer the misery of technical obstacles all over again.

I'm not sure whether I love or loathe overcoming technical challenges. I love it when I succeed but I hate it when I feel like I'm not succeeding; that I've finally met my match with a particularly nasty problem.

In the organisation where I currently work, it seemed like the system I was working on was incomprehensibly huge and that the problems were so deeply embedded in the very fabric of what'd been built, that I could do little more than nurse the thing along and make very minor improvements. However, I started to become more bold and ambitious about making changes, until eventually one day I decided to rewrite it all. Everything works like I thought it would, and things are incomparably better than they were when I joined, but maybe I'm biased. I do have hard numbers to back my claims that things are better... things that were taking days take a matter of minutes now.

I always worry that I'm repeating past mistakes, where I've become full of myself and convinced that I'm a major driving force in delivering a major project for a massive organisation. Perhaps I am a major driving force, but things have not always ended well for me when I've allowed my hypomania to run riot. I need to learn those lessons of the past and not allow myself to become excessively tired, where my hypomania turns into outright mania and I start acting strangely.

Hopefully the reality I perceive is not too different from how other people see things. Hopefully I'm not suffering too badly with delusions of grandeur. There seems to be plenty of evidence that I'm doing a good job and I'm well respected, and that my contribution is valued. There seems to be plenty of corroborating evidence to support my claim that I've made a major contribution to the project and can feel proud about that.

I'm really hoping I get to stick around and see things through to completion. There's fairly significant stuff going on in October, and I really want to be part of that, seeing the stuff I've worked hard on getting used in anger. Sure, I'm over-invested and taking things too personally, but I also want to have been part of something to feel really proud about.

 

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Hard to Count

8 min read

This is a story about beans...

Cray

IT projects routinely go over budget and fail to meet their deadlines. IT projects routinely fail spectacularly. The worst projects of all are government IT projects, which very often get cancelled, having failed to deliver any value at all.

Anyway, on an unrelated matter...

IT projects that I work on are a bit different. I like to deliver things; I don't just want to work and not worry about whether anything useful is getting done; I'm not happy to let projects fail. It'd be easy to get carried away with my own ego and delusions of grandeur, but I make a difference to whatever organisation I work for, on whatever projects I work on.

Sometimes I get the sense that I've over-estimated the value of my contribution. Sometimes I feel like maybe I'm the tiniest of tiny cogs, and my contribution is negligible. Perhaps it's a co-incidence that I can get big complex IT projects over the line, when more usually they waste a heap of money and then fail. Perhaps I'm getting carried away with mania, which is deluding me into thinking that I do anything useful at all.

A colleague of mine repeatedly says that it's easy to create a great piece of complex software if you're the only person who designs and builds it, but I think he's wrong. Sure, I really don't think it's a good idea to have 100 people working on a piece of software that could - and should - be written by just one person, however, a lot more can be achieved by a small high-performing team than a single individual.

A commonly recurring theme with my bipolar disorder has been episodes of irritability, impatience and general intolerance for asshats in the workplace. Quite regularly, when tight deadlines loom and I'm feeling exhausted, my desire to work with "dead wood" people who make things worse, not better, reaches its limit and I really want the 'team' members who are slowing everything down to butt out, back off, step back and watch the professionals at work.

What about this 'team' stuff then? Am I even a team player?

I refer you back to what I said about small high-performing teams. In order for a project to deliver a high quality end product on or before the deadline, it's often necessary to have fewer people, not more. It's the bane of my life, having dead wood in the team. I'm absolutely a team player... I just don't want the dead wood around the place, messing things up and slowing everything down.

I should qualify: I'm fine with team members who are there to listen and learn; I'm fine with people who are developing their skills; I'm fine with people who are quite junior and in the early stages of their career. If you've been doing software development for decades and you're rubbish at it, then no, I really don't want you in my team. One thing that particularly irks me is very highly paid consultants who are rubbish at software development. If you're slow and dreadful at your job, despite being massively overpaid, stay the f**k out of my way and don't slow my projects down.

Is it so hard to hire good people? Is it so hard to identify the underperformers, especially when their output is out of alignment with their remuneration? Surely it's a simple cost:benefit analysis, where some individuals are nowhere near worth the money, and in my opinion are actively damaging to both projects and morale.

I wonder how much better things would be in the workplace if highly paid consultants who aren't worth the money were booted out, and the projects were delivered by underpaid graduates who are little superstars, producing huge amounts for very little cost. Actually, I know the answer because I've worked on those teams - with the right guidance, the graduates will deliver every single time.

The lack of meritocracy and the ageism in the working world is particularly galling in the IT industry, where archaic knowledge and experience has zero value. Perhaps my young graduate colleagues might benefit from a little senior leadership and a good architect, but whatever mistakes they might make are irrelevant because they're so damn quick. It's criminal that an overpaid and underperforming consultant might earn 5 or 6 times more than a bright and productive quick-witted graduate; graduates proven to be 5 times more productive.

Why do I learn so much from my graduate colleagues, but so little from overpaid consultants? I have learned lots of quicker, more efficient and more modern ways of doing things, when my older colleagues are just doing the same dumb s**t that they've done for years. Sure, it's been uncomfortable to have to re-learn vast swathes of stuff, but the benefits are obvious, having bitten the bullet and decided to take my younger colleagues seriously; to treat them with the respect they deserve.

What about respect in general for my colleagues? I respect my colleagues who have decided to take permanent jobs and be underpaid. I respect my colleagues who've chosen to avoid the cut-throat and stressful world of the job market, and instead opt for long careers with a single organisation. I respect that there are different life choices and needs, that some people need job security, and that very few of us had the opportunity to learn IT skills as a child, to the point of those skills becoming innate and instinctive. I respect that it's a very good idea to hire highly paid consultants, in order to upskill your permanent members of staff. It's part of my job, to train, coach and mentor my colleagues who are permanent employees of the organisations I work for. It's part of my job to be patient with the permanent staff members and to help them reach their full potential.

I spend a lot of time worrying about whether I'm just telling people what to do, and whether I should take a more pre-considered approach where I allow my colleagues to think for themselves, rather than just being typists while I dicate instructions. Is there any value in me instructing somebody to do something I could do myself in a fraction of the time? Should I just race ahead, and then spend time explaining what I did and why, once the deadline is safely dealt with? Would it be better to simply let my colleagues watch me work? I know that it's very hard to think for yourself if somebody is telling you what to do, and that if I was doing people management I would avoid any micromangement like the plague, because it discourages independent thought, learning and initiative-taking. I know that the kind of people I want to work with are ones who can work independently and solve problems for themselves, but I work in an unusual situation where there are tight deadlines, but I'm also expected to train my colleagues to be self-sufficient to some extent, which is impossible in the timescales.

Explaining to management that more people does not equate to more productivity, and that the deadlines are not realistic to be able to get all the work done AND do all the training and handover that's necessary to make me completely redundant, is an impossible task. I'm eternally plagued by the mistaken notion that one day, there won't be any more need for IT professionals because all the IT work will be finished and the IT people will all be redundant - this has proven to be the most ridiculous nonsense, but an enduring fantasy of f**wits in every organisation.

I should qualify that I really like my colleagues, although I'm a bit frustrated with one or two very highly paid consultants who aren't worth the money. I should qualify that I really like the organisation I'm currently working for. I should qualify that I really like the project. It's all interesting and people are nice and even the management are pretty good, which is rare. There's not much pressure and the deadlines are not realistic, but they're achievable, which is usually a miracle for an IT project, especially in the sector I'm working in. I have no real complaints or criticisms of any colleagues or the organisation and its management team, not that this would be the place to air those grievances, of course.

I write a little tongue-in-cheek, because I know that colleagues from two different parts of the UK are reading this from time to time, and I wonder what they will think if they happen to read this particular post. I cringe of course at my arrogance and my delusions of grandeur, but I also struggle to know whether I'm making a significant contribution, or whether I'm just a tiny insignificant cog in an incomprehensibly huge machine, so I'm prepared to poke the bear a little.

 

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I'm [Not] OK

6 min read

This is a story about keeping people updated...

Invert

It's been nearly 2 weeks since I wrote last. I know I've had gaps but this feels like a really long one. Gaps are usually a very bad sign. It's worth worrying about me if I'm not writing. Things are probably going badly if I'm not writing.

I was coping by using a combination of alcohol, sleeping pills, tranquillisers/sedatives and a heck of a lot of comfort eating. I've been teetotal and medication-free for a while now. I'm dieting too. I'm slimmer but I feel awful. Stopping taking all the pills has been brutal. Not having anything to 'take the edge off' has been horrible. The anxiety has been unbearable.

Some concerned friends have sent me messages, but I've felt too swamped to reply. Work is exhausting and there has been the looming holiday, which has caused added stress rather than being something to look forward to: How am I going to afford the loss of earnings as well as the expense of the holiday? My work situation is looking very uncertain for when I get back from holiday, which is a horrible situation to be in, worrying about money instead of enjoying some well-earned time off.

My relationship is good but it's caused some sleepless nights. I'm desperately trying to avoid worsening my exhaustion and sleep deficit, but it's almost impossible to catch up. Stopping the sleeping pills has caused my sleep quality to deteriorate. It's a miracle that I'm still reasonably productive and functional.

The last thing I want to think about is the travel and logistics of going abroad. Buying holiday clothes sounds like fun, but it's another item on a todo list which makes me very stressed out. I'm struggling to figure out when I can fit in all the things I need to do between now and my departure date from the UK. I suppose as long as I've got my passport and a buttload of cash then I can figure things out, but it's not pleasant to be so ill-prepared for a trip.

I'll be 40 years old in exactly one week. I decided to have a barbecue at my house when I was feeling somewhat more buoyant about the way my life was going. Now I feel like cancelling the gathering, because I'm stressed about the extra unnecessary hassle. Having guests over to my house reminds me that I've still barely moved in - I don't have much furniture and the place is a bit of a mess. I don't feel well placed to make my guests comfortable. I have a lot of anxiety about it being a really awkward occasion, with a handful of my long-suffering friends having made the long journey to the provinces, in order to make smalltalk with strangers... a real chore for them.

I'm working as hard as I can in order to feel proud about my contribution to the project I'm working on. I'm desperate that my contribution be remembered as something valuable and that my colleagues recognise the effort I've ploughed in. Work's become a bit of an unhealthy obsession and I'm significantly over-invested, emotionally. I can picture myself getting very depressed when I'm forced to leave the project because of contractual shenanigans, and through no fault of my own.

My life is deeply unbalanced; unhealthy. I'm not drinking alcohol and I'm dieting, so I've lost weight, and I've managed to get a bit of sun, so I look quite healthy, but inside I'm very sick. The stress of the past years seems to have ratcheted up as my life has become more 'normal' and 'stable' recently - things were easier when I was living out of a suitcase, in some ways, although I appreciate that I was very miserable and living much more unhealthily.

Readers who've followed me for any significant length of time will probably have a better idea than me as to whether I'm in a better place today than I was a few months ago, a year ago, several years ago. Things feel terrible but they probably aren't.

The stresses seem to be the same as ever, particularly concerning my security vetting. A colleague contacted me to say they were reading my blog. They seemed enthusiastic about the prospect of working with me, despite what they'd read, and the feedback seemed generally positive. It's the first time that a colleague has been brave enough to tell me that they've been reading my blog. Of course, the security vetting people have been reading too. I wonder if the security vetting people are as sympathetic to my stresses, and look favourably upon my ability to maintain an impeccably high standard of professionalism in the office, whilst undergoing some horrendous chaos in my personal life; struggling so much with my mental health. I wonder if all the talk about being sympathetic towards mental health issues is just hot air.

I wanted to write a short update, because I know people are worried about my uncharacteristic quietness. I've kinda failed. I'm doing OK, but I'm also really struggling too. Plenty of reasons to be concerned, but things are not completely ruined and on collision course with disaster... in fact I might even weather this storm and emerge in a reasonably good situation.

I'll try to write a little more regularly, but I don't want to be a stuck record, endlessly moaning about how unpleasant the effect of stopping medication is. I don't want to wallow in misery.

It's summer. I have money. I have employment for a little while longer. I have an awesome holiday booked. I have a very nice girlfriend. I have a cute kitten. I have a big house. Things are not terrible.

I'm not taking any medication, not drinking, dieting. I'm losing weight and my brain is getting back to a stable state without any alien chemicals. It's good to be free from the shackles of chemical dependency.

If I can push through this tricky period and keep the wheels turning, then I think my forties are going to be a much better period of life than parts of my thirties. It does feel good to be turning a corner as I reach an age when I should be growing old less disgracefully.

I've written more than I wanted to but I hope you'll forgive me. You're all up to date now.

 

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Cake And Eat It

9 min read

This is a story about a completed jigsaw puzzle...

Summer house cake

When I was 28 I was so depressed that I couldn't work. I couldn't face the outside world. I couldn't face the office 9 to 5 Monday to Friday routine. I couldn't face the glacial pace that projects moved at. I couldn't face the lack of productivity. I couldn't face the wastefulness of large organisations. I couldn't face the dead wood, being dragged along by those of us who wanted to actually create some f**king software.

My behaviour became erratic. The symptoms my my mood disorder - bipolar - made me a dysfunctional individual for long enough to cause problems in an ordinary office type environment: mainly my lengthy absence due to to the aforementioned depression. Nobody had ever much cared about me being hypomanic in the office, because it allowed me to deliver very complicated projects on time, to a high standard of quality.

I quit my job in 2008 and sat in my garden making iPhone Apps - mainly games. They sold very well and I was number one in the App Store charts for a brief time. Suddenly, I was earning a lot of royalties and I was comparatively wealthy.

I decided that I hated office work and corporate IT work - I hated big software projects - but that I should start a small business. I retrained as an electrician. I did all the training, bought a van and started trading.

Electrician

My electrician business traded profitably, but I kept getting asked to do freelance software work, which paid twice as much as my electrical work, and I was obviously much better at it, given that I've got 20+ years of commercial software experience and about 18+ months of commercial electrical experience. It's a lot less stressful being a software consultant than it is being an electrician.

I decided to combine my entrepreneurial side - the iPhone Apps and the small business - to create a startup which would have a software product which could be licensed, so that I could make money while I slept: it was a scalable business model.

During all this erratic behaviour, I was making a ton of money, I designed a built a beautiful summer house in my garden, I had a wakeboarding boat, I threw lavish garden parties. I was having the time of my life, except I was in a very toxic, abusive relationship.

I ended the relationship and my life continued to improve. In fact, my life kept on improving.

Soon, I was enrolled on a prestigious startup accelerator program which takes 8,000 applicants for every place, and only offers 10 teams the chance to be mentored by senior executives from Google, Facebook, Microsoft, Amazon, Paypal and a bunch of other great tech companies, plus the opportunity to pitch on "demo day" to a packed auditorium full of venture capitalists and angel investors, and raise a huge amount of investment.

My company was already profitable enough to pay my co-founder and I a decent salary and hire our first full-time employee. That was entirely bootstrapped: the company was built from nothing. My co-founder and I built a profitable startup without taking a single cent from any member of friends or family, or risking any of our own money.

This was my cake and eat it moment.

I worked too hard for too long. On the accelerator program mentor madness was fine for the teams who just had an idea, but my co-founder and I had a profitable business to run. We had customers who needed supporting. We had sales deals which needed to be closed. The rest of our cohort were happily burning the money they'd raised - making a loss - while our startup was living within its means and growing organically... in fact it was growing rapidly organically.

The problem was that toxic, abusive relationship.

She wasn't kind. She wasn't supportive. She didn't want me to succeed. She was just plain mean and totally inflexible; uncompromising. It wasn't fair, because I had supported her when she wanted to change career, and I had also been a very loyal loving boyfriend. Of course I could have split up with her and run off into the sunset with a lovely girl from the tech startup scene who could see the potential in me and the potential of my startup, but I let loyalty and a sense of "doing the right thing" get the better of me.

Since then, there hasn't been a lot of cake eating.

Divorce became extremely acrimonious in 2013, after a harrowing period when the abuse and the trauma was sufficient to give me PTSD - I was barricaded in rooms and defecating in a bucket to avoid physical harm and at least give myself what little protection I could. Verbal abuse and violent kicking and punching of the door was so frequent it was literally torture. My abuser was keeping me trapped with threats of violence, and I starved, I was thirsty and I had to sh*t and piss in a bucket.

Mercifully, we separated in August 2013.

Trauma doesn't heal overnight.

The divorce dragged on into 2014, ruining my second startup and depriving me of all my liquid capital - my money - which I needed to start another business. The divorce ruined me every bit as much as the toxic relationship and abusive marriage did. The divorce left me so physically drained, traumatised, financially taken advantage of, exhausted and stressed, that I broke down completely. I ended up sleeping rough. I ended up homeless. I was wrecked.

Briefly, at the end of 2014 I had a nice apartment in Swiss Cottage, a lovely commute on the Jubilee line to Canary Wharf and a well paid consultancy contract with Barclays. Was I having my cake and eating it? No. The divorce and the separation had caused me such horrible PTSD and financial distress that for almost that whole year I had been sleeping rough and in a homeless hostel. My life was very fragile; my recovery was only green shoots.

In 2015 I had an amazing apartment overlooking the Thames with panoramic views of all the London landmarks. I had a great consultancy contract with HSBC. Was I having my cake and eating it? No. I was so distressed by the financial troubles I'd had that I worked unsustainable hours and got very sick, and had to be hospitalised. I had to be kept in a secure psychiatric ward for my own safety.

In 2016 I had the same apartment. I had a great consultancy contract. I was less stressed about the erratic nature of my life and the financial boom and bust, but I certainly didn't feel comfortable spending money.

In 2017 I had the same apartment and a great consultancy contract with Lloyds Banking Group. A large blood clot - a deep-vein thrombosis (DVT) - formed in my leg and it caused the complication that my kidneys failed. I nearly died. I was sick for months with agonising nerve and muscle damage. Out of desperation I took a short contract in Manchester. It was so miserable that I tried to kill myself. I very nearly succeed - I was in a coma for 4 or 5 days in intensive care. I was sectioned and kept in a secure psychiatric ward for my own safety.

By the end of 2017 and into 2018 I had recovered enough to be consulting for an investment bank in London. I was commuting from Wales and staying in crappy AirBnBs. I was well paid but it was the most miserable life. I was homeless, single and coming to terms with having survived a suicide attempt which should definitely have killed me.

Then I got a consultancy contract in Wales. I had a nice girlfriend in Wales, I had a job in Wales and I had a very nice home in Wales with panoramic sea views. I was about to have my cake and eat it.

Then, soon after booking a short holiday, my consultancy contract ended early because the project was finished - I worked very hard and delivered early.

I got another consultancy contract in Wales. I still have that consultancy contract in Wales. I have a girlfriend who I think is amazing and I'm crazy about her. I have very serious feelings for her. I was about to have my cake and eat it.

Now my consultancy contract is ending prematurely. I worked hard and managed to rescue a very important project which was running late. I was working very hard to deliver our project early.

Clearly I work very hard. Clearly, I'm lucky enough to create these opportunties where I could have my cake and eat it but so far nothing's worked out for me.

It may well be possible for me to still have that amazing holiday we've got planned, but it will always be slightly spoiled by the stress of knowing that I don't have secure income when I get home, which makes me worried about money.

You can understand why I'm worried about money, can't you?

You can understand why it's so terrible that my holidays get ruined by having my consultancy contracts unexpectedly cut short, especially when I work so hard and make such a big contribution.

Of course, I could throw caution to the wind and take that luxury holiday anyway. If there's one repeating theme in this story, it's that I always bounce back from adversity. I could risk it all and go ahead with that holiday, which I desperately need and want.

I've been lucky. I got to go to Turkish Disneyland on my own. I got to go to Tulum in Mexico. My luck ran out eventually I guess. I have a beautiful girlfriend who is kind and loving and supportive, I have a gorgeous bengal kitten, I have a very nice great big house. I have a little financial security, but paying for a luxury 2-week holiday has a major negative impact on my meagre financial resources, seen in the context of how bad things can get: months in hospital, sleeping rough and nearly dying on several occasions.

Perhaps it's just not my destiny to have my cake and eat it.

 

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I Don't Think You Realise How Tired I Am

4 min read

This is a story about working...

Power nap

I work hard for long periods of time - very hard - and then I need a holiday. I don't mean sightseeing. I don't mean wandering round crowded cities. I don't mean rushing from place to place, catching planes, trains and automobiles. I don't mean having a packed itinerary of non-stop horse-riding, hiking, learning how to make stuff, guided excursions to sites of historical and cultural interest. What I mean is a holiday.

I work very hard and I get very tired.

It's very tiring working very hard.

If you do not work very hard, then you are not very tired, and you have plenty of energy to go off doing city breaks and travelling around, never staying more than one or two nights in any one place, taking local busses, doing lots of short internal flights. If you do not work very hard then you will have lots of energy to have a very complex itinerary and go off spending lots of money doing lots of things.

I work hard.

I get tired.

I need a holiday.

I cann't stress this enough: I AM VERY TIRED AND I NEED A HOLIDAY.

This is what a holiday is: go somewhere with nice weather, stay there, relax.

There. That's a holiday. A holiday is something you do so that when you go back to work you're less tired than when you started. I need a holiday. Is that clear?

Over the Christmas and New Year festive season, I did manage to lie on a beach lounger getting a nice tan and having drinks and snacks brought to me by a waiter. I did manage to relax. The weather was vastly better than it was in the UK and I was able to stay in the one place - no planes, trains, automobiles, busses, coaches, trams, timetables, itineraries, hassle, faff, stress, exhaustion - and I was able to go to the beach every day and enjoy the sun, sea and the sand.

It's been more than 6 months.

I'm exhausted.

I need a holiday.

I'm tired so I need a holiday. I do not need a complex multi-stop itinerary cultural activity tour with a thousand and one things to travel between, as some kind of non-stop torture for somebody who just needs to relax. That's not a holiday.

If I had tens of thousands of pounds and months and months without any rent or bills to pay, I could quite happily squander those tens of thousands of pounds ambling around doing activities, but I don't have that luxury. I work. I work very hard.

I don't get to sleep. I don't get to rest. I just work. I work really really hard. I cannot stress enough how tired I am.

I am tired.

Do you get this?

The solution to my tiredness is a holiday.

This is how I organise my life: I work hard and then I take a holiday.

That's how my life works: I use up my energy working very hard, and then I take a holiday to replenish my energy.

My energy is depleted - dangerously so - and I desperately need a holiday.

It's really quite simple when you understand these simple facts: I work; I work very hard; I work for very long periods without a holiday; I work on the basis that I will take a holiday when I need one, to recharge my batteries. My life does not and cannot function without the holidays which punctuate the periods of intense hard work. You cannot imagine how hard I work. You cannot imagine how tired I am.

I do not think you realise how tired I am.

 

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Not a Real Person

7 min read

This is a story about living a lie...

Bengal kitten

I've been accused by a BBC journalist as being a fake - creating a contrived story - although she did come to visit me when I was held in a secure psychiatric ward, so I wonder whether she continued to suspect my authenticity after that. A recovering alcoholic from the South-West of England, who had recently started a blog, and a mutual friend of ours who had lost a child to suicide, decided that I was a journalist. Most recently, a person who I considered a friend who had once offered to accomodate me when I was facing homelessness, but then quite suddenly retracted that offer, said that they had considered my bipolar diagnosis "doubtful" and told me that they'd "lost faith in [me] as a real person". These are just some of the examples of people who have taken an interest in my story, only to later suggest that I'm a fictional character; a figment of my own imagination.

It would be quite nice to be a fictional character. Assuming that this blog is written by a human being and not an artificially intelligent Nickbot™ then it seems logical to further hypothesise that the author lives a pleasant life free from mental illness and the mood instability of bipolar disorder. It sounds really nice to be a fiction author or journalist, who has the time to create a character for the world to read about. It sounds like a super pleasant existence, being able to write a fake blog about a fake person and to inflict fictional unpleasantnesses upon that non-existent person, instead of a real human being having to experience terrible things. It sounds a lot better to me, that there should be a "real person" out there who is having a nice time, and that all the bad times never happened at all - they were all just stories.

Unfortunately, I feel pretty real. If I pinch my skin it hurts. If I slap my face it hurts. When things are going wrong, it hurts. When things are stressful, it's very unpleasant. When things go wrong, it's awful.

I really wish I wasn't a "real person".

It seems like a lot of effort to go to, spending 4 years of your life writing 1.2 million words, to create an artificial entity - a fictional person living in a fictional world - when it must be clear that I derive no monetary reward from this endeavour. Do you think I get paid a salary to write this blog? Do you see any adverts anywhere? Do you hear me promoting products? How does the "real person" make their money and why would anybody pay money to create a fictitious "Nick Grant" character?

The most disturbing and upsetting part of accusations that I'm not "real" is that I've been hospitalised 3 times with multiple organ failure as a result of trying to end my own life. I've spent months in secure psychiatric wards. I've spent years trying different medications and suffering their side effects. I've seen so many doctors, specialty doctors, mental health nurses, psychiatrists, social workers and various support workers who are part of community mental health teams and crisis teams. I nearly died a whole bunch of times... like, serious not messing around, major medical emergency, miracle I'm still alive kind of nearly died.

Am I supposed to be sorry that at the moment my job is going well, which has earned me a lot of money, such that I've been able to get a lovely big house, furnish it, get a gorgeous bengal kitten and meet a beautiful girlfriend? Am I supposed to be apologetic about that? Am I not supposed to have any of that?

Bipolar disorder has been destructive and destabilising and has caused me to have to start my life from scratch. Bipolar disorder has caused me years and years of dysfunctional behaviour, which stopped me from having a happy life and enjoying health, wealth and prosperity. Am I supposed to stay stuck eternally in that perpetual state of mood instability, which was so extreme that my life was ruined?

If I knew what the 'cure' was for bipolar, I'd gladly tell you what it is, but as I've written before, I don't think I'm cured at all. A lot of hard work goes into managing my mental health condition without medication. In fact, choosing to be unmedicated is one of very many difficult decisions I've made, along with choosing to work, when I would much prefer to abandon all responsibility and assume that there's a magic pill which will 'cure' me enough for me to be able to sit around watching TV collecting my government handouts.

I have episodes where I appear to be very functional. Am I supposed to be sorry about that? These episodes where I'm functional don't come for free: I work very hard to keep my mood as stable as I can.

You're right: I'm no longer sleeping rough. You're right: my circumstances have improved considerably. You're right: my life looks somewhat enviable. How many times have you slept rough? How many times have you been hospitalised with multiple organ failure? How many months have you spent under lock and key on a secure psych ward? How many different strong psychiatric medications have you tried? How many doctors have you had? How much have you lost? What's the lowest you've ever got - have you ever lost literally everything and had to start your life again from scratch?

If you think that somebody who's nearly died a bunch of times and who's slept rough, destitute, has no need or want for a nice house, a gorgeous kitten and a beautiful girlfriend, then you're a complete idiot. You think I'd settle for living in a tent? You think I'd settle for a few ragged dirty clothes? You think I'd settle for one meal a day from my local soup kitchen? Do you think somehow that I should have lowered my sights and curtailed my life ambitions, because I've experienced the very worst that life has to offer? Fool.

If I had the 'cure' for bipolar disorder then I'd share it for sure. In fact, maybe there are lessons to be learned. I've exhaustively documented every single gory detail of my life in the hope that it would be read, and that it might prove interesting and perhaps even useful to the general public. You're welcome.

As for those of you who think I should be sleeping on a piece of cardboard in a shop doorway, begging, because that seems more "real" then I'm sorry to disappoint you, but I like my life better, even if you think you have the right to tell me that I should be deliberately choosing to deprive myself of nice things. I like my nice house, I like my gorgeous kitten and I like my beautiful girlfriend, even if those things don't fit with the narrative which you invented. There's 4 years of my life and 1.2 million words if you want to go digging to find some of the really awful times from my past.

I continue, as ever, to write with unflinching candid honesty about the reality of my day-to-day existence.

 

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Managing Bipolar Without Medication

11 min read

This is a story about personal responsibility...

Handful of pills

I often like to think that I'm 'cured' of bipolar, but the reality is that I can have incredibly functional periods, where it certainly appears to the outside observer as if I'm perfectly healthy. However, the stability of my life - and my mood - is not due to having received treatment, nor is it accident or pure good luck. There are a lot of choices, deliberately made, which keep me functional.

We must accept that whether I'm functional or not, I do experience a mood disorder: bipolar. I can be suicidally depressed but working productively at my desk, with my colleagues blissfully ignorant of my distress and the danger to my life. I can be fighting to control my hypomania with every fibre of my being, desperate to unleash the 'high' episode and experience a period of incredible creativity and productivity, but I know that my colleagues would bear the brunt of my irritability, and their suspicions would be raised by my fast speech and general intensity... I would be told to go home; I would be told I'm working too hard, and I would ignore them, only to subsequently crash.

I'm prone to taking huge risks. I'm prone to depressions that leave me unable to leave my bed or face the world for long periods. I'm prone to hypomanic episodes where I take on ridiculously huge projects, and somehow manage to complete them, but at great expense to my health and stability.

Nobody could say that I don't have to be aware of my bipolar disorder at all times, because it always threatens to plunge me into suicidal depression, or make my hypomanically high - neither state is compatible with a regular 9 to 5 Monday to Friday office job.

Luckily, nobody employs me because I'm a slow and steady guy; nobody employs me because I plod along doing nothing much in particular, keeping a low profile. The reason why I get employed is because I get stuff done. I get a lot of stuff done. I get things done that people say couldn't be done. Then, one day "I can't even" as the kids say. Yep. That's a complete sentence. I can't even finish a sentence properly when I'm having one of those episodes. I become dysfunctional if I don't manage my illness. There's no denying that I'm unwell when I get so sick I can't leave my bed, answer my phone or send an email: I go AWOL.

For years I struggled with the different episodes. I allowed too much of my hypomania to be conspicuously visible in the office. I allowed too much of my depression to overspill from my private life. I was in the office when I shouldn't have been and I wasn't in the office when I should have been. I allowed my mood to dictate my behaviour, as so many of us do, because it's virtually impossible to behave otherwise.

I tried being my own boss, so I could work as hard as I wanted when I was hypomanic, and sleep as much as I needed when I was depressed. Things got worse, not better. I tried tablets. I tried so many tablets. Things got worse. Things got so much worse and I became so dysfunctional that my life fell apart, but nobody believed me. I was sleeping rough in Kensington Palace Gardens - a complete mess - but because I sound posh and intelligent, and I've had a great career, nobody believed that I was losing my battle with my mental illness, and I was incredibly vulnerable. I desperately needed help, but to outside observers, I seemed to have some semblance of the self-reliance I'd always had... everyone assumed that I was as competent and capable as I'd ever been, and that I could take care of myself.

Things got very bad. I was hospitalised several times, both for medical emergencies due to physical health problems which threatened my life, and for the seemingly unending mental health crisis I was suffering. The fact I was alive was taken as evidence of my resourceful nature and self-preservation instincts - my ability to be responsible for myself - but it's pure blind luck that I'm not dead, along with a heck of a lot of skill, effort and energy by a vast number of medical professionals, who've saved my life during various organ failures, seizures and generally near-fatal awfulness which took place in high dependency hospital wards and intensive treatment units.

Today, my life gives few clues about the journey to this point. I have two large scars on my legs and a tattoo behind my ear. The tattoo is something that any observant person might see, as a tiny clue that I've been though some pretty appalling stuff, but the scars are usually hidden beneath my clothes.

The length of time that I've spent working closely with a close-knit group of colleagues, and what we've achieved together as a team, is the basis for the impression that people have of me, along with my general demeanour. I'm lucky enough to have retained my full faculties and suffer no impairment due to the horrors of the past. My colleagues see a competent and capable individual who they have come to depend upon - they trust me and the seek out my opinion. In this sense, you could be forgiven for thinking me 'cured' of bipolar.

I'm hoping that I will stay in my new home city for a long time, and I will build an ever-increasing circle of friends, neighbours and other acquaintances, who see me going about my daily business; who have pleasant normal interactions with me. My existence is clearly no longer full of crises; I'm obviously much more stable than I was, and that stability has proven reasonably reliable.

None of this is an accident. None of this is pure chance.

I don't have any caffeine. I know that alcohol is bad for me, and I avoided it for months, which was very beneficial to my health. I try to sleep as much as possible - 10 or 12 hours a night whenever I can. I keep to a routine... I keep to a REALLY STRICT routine if I can. Mealtimes, when I get up, what I wear, what I eat, writing every day, quiet time before bed, glasses to filter out blue light, dietary supplements... these are some of the things that are working well. I know I need to exercise more and I know I need to get more natural light too. It would be healthy to have regular social contact with people outside work. It would be good if I had a local support network.

My job often bores me, but I put up with it. I'm often too depressed and anxious to get out of bed and go to the office but I force myself. I often find there's not enough time to watch films and documentaries, or do anything other than write, eat and get ready for bed, after work, but I'm trying to do more.

I've gotten tired. Really tired.

Last week was incredibly exhausting. Work was immensely stressful and demanding. Some relationship difficulties cause me to lose a lot of sleep, as well as being very emotionally demanding and stressful. I got a kitten, which has been extremely rewarding and exciting, but also a disruption to my delicate routine and an additional set of responsibilities.

Adrenalin has carried me through the past few weeks and I've managed to skip almost entire nights of sleep on several occasions, seemingly without consequence, but it's all caught up with me.

I haven't been looking after myself.

I've broken my rules.

I've broken the rules which keep me safe, healthy, secure and stable. I've broken the rules which have kept me functional for a very long period of time. I've broken the rules which I invented to end the crises and the dangerous highs and lows. I've broken the rules and I've paid the price.

I'm not sick but I'm not well.

I underestimated the damage it would do to my health, drinking too much and staying up all night. I overestimated my ability to cope with extra stress and big changes. Suddenly I have a girlfriend and a kitten, where previously I had nothing but a big empty house. My life is immensely more pleasant and enjoyable, but it's also suddenly become incredibly fragile. I'm suffering bouts of insecurity and occasional outbursts of frustration that my comfortable stable security and safety margin of spare energy has been exhausted, leaving me irritable and impatient.

It's my responsibility to make sure that I'm getting enough sleep. There aren't enough hours in the day, but I can take some holiday. I've worked non-stop since I got home from Mexico at the start of January. Nobody can work so hard, move house, get a girlfriend, furnish a home and get a kitten, without having a holiday. I've been relentless. I've acted as if I've got limitless energy and a superhuman ability to achieve impossible feats at incredible speed. To all intents and purposes, I've pulled off almost everything, but the cracks are showing - I'm heading for disaster.

Whether I've already gone too far, allowing myself to become too tired and letting myself become unwell, remains to be seen. I was irritable and unpleasant last night, and there might be consequences. Who knows what damage I've done?

I'm going to sleep until lunchtime tomorrow. I'm going to recharge my batteries.

I know that a few extra hours sleep is not enough. I need a whole week of lie-ins. I need a whole week of afternoon naps. I need at least a whole week of being free from the relentless demands which I've faced this year. I desperately need another holiday. I've left it too long, as usual, but I hate going away on my own.

That's another part of the non-pharmaceutical treatment for my bipolar disorder: holidays. I genuinely need holidays for the sake of my health, but when my life was chaotic I would work as hard as I could for as long as I could when I was well, because I felt so much pressure to earn as much money as possible, to support me during episodes of illness. I've come to realise that it's incredibly unhealthy to have 6, 9, 12 and even 18 months without a proper holiday. I need a week away. I need a week of rest and relaxation, and ideally that would be with my girlfriend, if I haven't p*ssed her off and upset her with my unstable mood already.

I wonder if I'll make it - last long enough - to be able to go away on a nice holiday to recharge my batteries. I think that I need to start taking evasive action immediately. I need to be strict with my bedtime. I need to be strict with alcohol. I need to take some mornings off work to catch up on sleep. It might be advisable to take a whole week off and just do nothing for the sake of my health. I know that I've let my health get into a precarious state.

I haven't looked after myself and I need to act.

I could spend a week pottering around my lovely house, with my kitten to keep me company. I think my health would benefit significantly. I need to loosen my grip on my work. I need to relax. I need to rest and recuperate.

Burnout is not good. I'm so sick of burning out. I'm so sick of episodes of mood disorder. I can regain stability, but I need to recognise that I'm not well and I need to act immediately. Yes, I could cling on until the end of July for a holiday with my girlfriend, but there's a huge chance I could get really sick if I try to wait that long. I'm going to have to take some time off work, for health reasons, and it's not the end of the world.

I hope I write again soon that I did the sensible thing, and that I'm getting on top of managing my health. I hope to write that I'm regaining some safety margin, so that I can remain cool, calm and patient, and not be irritable and unpleasant. I hope to write that I'm treating my girlfriend nicely, not being an exhausted wreck, full of insecurity and instability.

I feel super bad that I've mismanaged my illness, but all I can do now is to try to look after myself.

 

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8 Years Of My Life In 5 Pictures

9 min read

This is a story about peaks and troughs...

Cambridge

My story begins exactly 8 years ago, on May 4th 2011. I was the CEO of a profitable startup with prestigious clients paying to use my product. It was my idea, I had designed & implemented the system and I had successfully done deals with big companies. I had just started a TechStars accelerator program in Cambridge, run by Jon Bradford and Jess Williamson, and I was about to meet 46 mentors in week of "mentor madness" which is like speed dating, to hook up startup founders with experienced successful people from the tech industry, who were kindly offering to help 10 lucky teams on the TechStars program, along with my co-founder and I.

I was surrounded by super-smart people in Cambridge. My startup was growing very fast and I had done a great job of getting the company to where it was with very little help. I was hot property - a pin-up for the UK startup scene.

My co-founder was a much more likeable and charismatic guy who once ran a karaoke bar and had a far better temprament for being CEO, but I wanted the glory of having that coveted job title for myself. I emphatically rejected the suggestion that it might be better for the company if we were to switch roles, and I was to take the position of CTO. Fundamentally I'm good at technology, but not necessarily the best people person: I had, for example, already managed to make my co-founder cry in front of a Google executive. As CEO, I was pretty vicious and ruthless, because I was so desperately ambitious.

This particular May 4th, in 2011, was a moment when my potential net worth was at its highest. This was my golden opportunity to make my millions.

London panorama

This next picture is taken exactly 5 years ago, on May 4th 2014. I had just woken up in the Royal Free Hospital, Hampstead, London. This is the view from my hospital bed. I was surprised to be awake, because my kidneys were failing, my liver was damaged, there was a lot of fluid on my lungs and my heart was not functioning healthily - I had arrhythmias and my blood pressure was dangerously low. I hadn't expected to survive the night, so it was nice to be greeted by such a pleasant view in the morning.

By this point, I'd had to resign as CEO, sell my share of the company that I founded. The company still continued to trade very profitably without me and was getting big-name clients, but I had failed, personally. My co-founder stepped in and did a great job of smoothing things over with our investors and our clients, but my own reputation was damaged and I was heartbroken; ashamed.

I had just gotten divorced and sold my house.

My dreams were destroyed: I lost my company, my wife and my house. I tried to kill myself. That's how I ended up in hospital. I was lucky to survive.

Single speed

Exactly 4 years ago, on May 4th 2015 it seemed like I was getting my life back on track. I had been doing consultancy work for Barclays, which was very lucrative. Jon Bradford - the guy who ran the TechStars startup accelerator in Cambridge - had written about how I'd "sold out" and gone back to the world of banking and the easy money that was to be made in the Square Mile and Canary Wharf, which was hurtful. I was not happy. I knew I had sold out, but I needed money to pay the bills. I was couch surfing and living in AirBnBs. My life was chaotic. I loved being in London, but it was tearing through my dwindling savings and I was still heartbroken about my divorce and losing my company.

This photo is interesting, because it predates one of the most insane moments of my life. I was so exhausted and sleep deprived, that soon after this photo was taken I started hearing voices and generally suffering a major psychotic episode. My mind completely capitulated and I was lost to madness, briefly. It seems very strange now, writing about it, when I consider myself to have pretty good mental health, but at the time - 4 years ago - I was extremely unwell.

London beach

Exactly 3 years ago, on May 4th 2016, I was skimming stones into the Thames on this little rocky 'beach' on the banks of the river, by my apartment. A lucrative contract with HSBC had allowed me to get an apartment with the most stunning views over London and my life was starting to improve.

I had been an extremely passionate kitesurfer, which had taken me all over the world, seeking out the best wind and waves. During my divorce, having to step down as CEO of the company I founded, and the period when I was very unwell, I hadn't been doing any kitesurfing. Living by the river on a part which was tidal gave me back the connection to water which had been missing from my life. A friend came to visit and was even brave enough to kitesurf from this 'beach' despite the Thames being a particularly treacherous waterway to navigate, especially without an engine - the wind was gusty and unpredictable, but he managed to kitesurf on a 'beach' right in the heart of Central London.

Soon after this pleasant evening skimming stones into the Thames, I went away on a kitesurfing holiday to a desert island off the coast of North Africa, and had a very enjoyable time. 2016 was a good year. I made a lot of money and I had some very nice holidays, as well as meeting the love of my life.

California rocket fuel

Exactly 2 years ago, on May 4th 2017, I managed to trick my doctor into prescribing me an antidepressant combo called California Rocket Fuel. I'd had a rough winter where I nearly died from DVT which caused my kidneys to fail, and consequently I had lost a lucrative contract with Lloyds Banking Group. My life had been miserable, with a great deal of pain from the muscle and nerve damage from the DVT. I hadn't felt well enough to be able to work.

The love of my life was doing amazingly well in her career - in politics - and was appearing on an almost daily basis on TV, while I was limping around on crutches and taking a lot of very powerful painkillers. I was depressed and I wanted the very most powerful antidepressant I could get, which I discovered was "California Rocket Fuel" by doing some internet research.

I have bipolar disorder. People with bipolar disorder are not supposed to take antidepressants without a mood stabiliser. Doctors are not supposed to prescribe antidepressants to people with bipolar disorder. I had to be extremely sneaky to obtain this prescription, and it was rather cruel how I manipulated the poor unsuspecting doctor into seperately prescribing me the two medications, which are combined to create "California Rocket Fuel".

The result was predictable: Mania.

I went incredibly manic and my behaviour became erratic. I broke up with the love of my life.

. . .

That's the end of the pictures

. . .

When I later regained my mental stability and reflected upon what I had done, I realised I'd made a terrible mistake and I tried to get back together with the love of my life, but my behaviour while manic had been so inexcusably awful that I had ruined any chance of that happening. Agonisingly, she said she still loved me and wanted to take me back, but her family, friends and work colleagues would've been apalled that we were back together again. "If you love them, let them go"... it's been devastatingly hard, but I've tried to come to terms with losing the love of my life, and acknowledge that it'd have been very unfair on her to pursue her after what I put her through.

I left London doubly heartbroken, having lost the love of my life, and leaving the city I've spent most of my adult life in. I love London, but it was time to leave.

Since leaving London, my life has been erratic and unstable at times, but putting the pieces of my broken heart back together again and rebuilding myself to a position of health, wealth and prosperity has been a lot easier than it was in the capital. London placed an enormous amount of stress and strain on me, to generate vast quantities of cash to maintain a high standard of living.

Today, May 4th 2019, I have a fabulous standard of living. Maybe I'm not going to be a millionaire CEO. I've loved and lost a wife and a love of my life. I've nearly lost my life during some very bad medical emergencies. I've nearly lost my mind. However, despite all the adversity, I'm wealthy, I live in a beautiful big house and I'm reasonably successful when I'm dating, so I see no reason why I'm not going to end up with a very enviable life. In fact, I already have a very enviable life.

We expect our lives to take a linear path; continually improving as we get older. My life has been chaotic and unpredictable. My life has been through boom times and and bust in the most extreme way imaginable. I'm 39 years old and I didn't expect to be alive this long. There have been devastating moments, which I thought would destroy me, but they haven't. I thought my bipolar disorder would make my life so unstable that I wouldn't be able to regain control and have a good quality of life, but my life is really awesome and it keeps getting better, although it does take a lot of hard work to maintain stability.

I suppose this overview of an 8 year period of my life, told using 5 pictures, is not going to do justice to the complete story, which is full of hair-raising gory details, as well as some moments of sheer delight, but this brief synopsis does at least give the reader a little insight into who I am, without having to read all the [literally] million words I've written and published on this website.

May the fourth be with you.

 

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Treatment

10 min read

This is a story about making people better...

Ward

I remember the days when I thought that there were magic buildings full of magic people with magic potions who could make magical things happen. I remember the days when I was naïvely optimistic about the abilities of people, institutions and organisations who make highly alluring claims: we can cure you!

If I had ruptured a major blood vessel, or my body was losing its battle against a bacterial infection, you can be damn sure that I'd want somebody to stop the bleeding or give me some antibiotics. If I had an operable cancer, you can be sure that I'd want somebody to cut it out of my body.

Some areas of medicine are comparatively new. Some areas of medicine don't have a great deal of success - the data doesn't show significantly better outcomes for patients who are treated, versus those who are untreated. Medicine is actively losing its battle to save lives in some areas, such as suicide and opioid addiction. Mental health problems and addiction have been declared medical emergencies; epidemics.

Sometimes I wonder if it's useful to think of myself as having a chronic illness, and to expect that problems are just around the corner. I can have a good day, a good week, a good month... maybe even a good year. However, it's probably dangerous to start thinking of myself as "cured" or "recovered" and begin to consider myself "normal". Complacency will no doubt lead to repetition of past mistakes, which can result in an incredibly fast chain of disastrous events, destroying every semblance of a normal life, which was so convincing that I and other people were completely convinced that I'm just another ordinary bloke... not some ticking time bomb.

I fought very hard to get treatment. There was a great deal of reluctance to diagnose me as bipolar, and there was further reluctance to treat me. I seemed very functional. My problems seemed acute. Everybody hoped that I'd go away and get better without intervention.

wanted treatment. I knew I was getting sicker. I knew that my situation was deteriorating. I could see the car crash that was about to happen.

I believed that treatment was effective.

I just had to find the right treatment.

I tried so many medicines. I also believed in the "magical healing powers" of hospitals and doctors. I was indoctrinated by the medical establishment's dogma: "we are the experts and we are the only ones who can cure you".

Of course, I'm not such a fool that I believe in alternative medicine. I critically examine all the claims of all charlatans, quacks, healers and others who promote themselves as miracle-workers. Desperate people are suckers. People are also lazy and gullible. Many of us will be scammed in our lifetimes, because we are so desperate to believe in the existence of things that are too good to be true.

It would have been good I could have avoided that period of my life when I was desperately searching to find the right specialist, hoping that a stay in hospital would be my salvation, or trying a heap of different medications in the hope that I would stumble upon the right one, but it was a necessary education. I needed to learn what was possible, and what was not possible. I needed to see with my own eyes and experience those things first-hand, to learn the limitations of psychiatric medicine.

Psychiatry is young. Mainstream psychiatry - the prescribing of psychiatric medications on a massive scale - is an experiment that's barely a few decades old, which is no time at all, when we consider that anatomical studies of the human body and surgery are parts of medicine which are hundreds of years old. The present-day situation, where at least half of us will take a pill for depression or anxiety at some point in our lives, and so many of us have been taking psychiatric medications for years and years... this would have been unthinkable before Prozac successfully normalised the practice of dispensing mind-altering drugs to tens of millions of people across the USA and Europe. Nobody really knew what the long-term consequences and long-term outcomes would be.

I've lost interest in having any contact with doctors now. I've lost interest in any new developments in the field of psychiatry. I've lost interest in the idea that there will ever be a miracle pill to cure depression, anxiety or to stabilise moods. The brain has proven a far more complex organ than the blunt instruments of psychoactive substances are able to have any precise effect on. Pills are useful for curing a bacterial infection, but they are of no use in an organ which has been evolved to specifically resist attempts to alter it - the brain's ability to maintain homeostasis is incredible, and all psychiatric medications are fundamentally flawed, because they affect a plastic organ, which can simply adapt itself and return to its original state.

Hospitals can offer welcome respite - sanctuary - from the unreasonable demands of the world. Hospitals have their place as a controlled, safe environment, full of caring people. However, psychiatric care has changed radically in the short time that we have been practicing it as a branch of medicine. Those who are ill-equipped to cope with life outside institutions cannot expect to live in an asylum forever, which might sound like a good thing for those who believe that people can be cured and rehabilitated. However, in my experience, it is the horror of the "real world" which is the very reason for the epidemic of mental health problems, and it's often infinitely preferable to protected with the safe confines of an institution than to be fending for oneself in the big wide world. The idea of losing your freedom might sound terrifying and unpleasant, but for those who are struggling to cope - struggling to be functional - freedom is a small price to pay, for the comforting reassurance of life inside an institution.

When you are a child and you hurt yourself, you run to your parents to "kiss it better" but often the injury remains painful for sometime and there is nothing that can be done to alleviate your discomfort. We learn that sticking plasters, stitches and plaster casts can help our bodies mend themselves, but there is nothing to be done to speed up the healing process. There is little that can be done to take away our pain. There is little that can be done when we are suffering mental anguish.

Although my life was very badly damaged, I'm now part of a large organisation where I'm known to a lot of people, and they'd be concerned if I went AWOL. My home city is still very new to me - and I know very few people locally - but I also think that somebody would ring my doorbell and check on me if I went AWOL. I have a routine. I have put things around myself that are structured and stable, even if that rebuilding process is very far from complete.

I've been here before... so very close to a fresh start; a complete life. About a year ago, in the blink of an eye I lost most of my new friends, my new girlfriend and my new job. The year before I nearly died, and I regained consciousness to find I'd lost my girlfriend, my home and my job. I'm aware that my life is very fragile. I'm aware that my existence is precarious.

I wrote positively yesterday about my life and how far I've come since the very deepest depths I sank to, but I know that I have a difficult job trying to stabilise myself and find a way of living my life that's sustainable, and tolerable... pleasant even, one hopes.

It's strange that I've been so much and ultimately reached the conclusion that I was doing a reasonably good job of looking after myself, but I simply had some very stressful life events to deal with. I thought that I could turn to doctors and hospitals to make me better - and indeed my life was certainly saved when my physical health was severely damaged - but now I feel much happier doing everything on my own: I prescribe my own medications, adjust my own dosages... but mainly I just try as best as I can to create a tolerable set of circumstances to allow myself to thrive; I've come to recognise that my family don't care about me and have abandoned me. I've been incredibly lucky to have very loyal, generous, kind, caring friends and wonderful girlfriends, who've believed in me, and looked after me, and stuck by me through the difficult times.

When you see the finished product - a functional man - then we might assume either that he never had any major difficulties in his life, or that treatment was a success. I'm grateful for the hard work, effort and dedication of those who work in psychiatry, but my ultimate conclusion is that it's a flawed branch of medicine. Things could have ended very badly, but those friends who bothered to come and visit me in hospital, check on me when I went AWOL, look after me when I was sick, believe in me, support me... that's the thing that was the key to giving me a chance at getting my life back. Those who've read my blog and are kind enough to reach out to me - to be in contact - have helped me to feel like I have some value, and to feel some self-esteem.

My colleagues don't know how sick I've been, and they don't know how much it means that I'm able to be treated like a normal person at work. My colleagues don't know how important it is that I have the structure and routine of office life. My colleagues don't know how great it is for my mental health to have the social interaction that we have, even if it's just office chit-chat.

We might conclude that the doctors I saw 11 years ago were right - I'm not really very sick and I'm quite capable of living a fully functional normal life - but they're also wrong, because everything had to get smashed to smithereens and rebuilt from nothing, before I could reach this point. I nearly died so many times. Was it avoidable though? Probably not.

That's my conclusion: I've learned a hell of a lot, but it would be wrong of me to start telling people that I have the answers, because what I discovered was that I had to learn everything first-hand. If I had a time machine and went back to tell myself everything I've learned up until now, I don't think I'd believe myself and I'd end up making exactly the same decisions, much like children have to make mistakes even though their parents warn them about everything and try to protect them.

Does this mean that I forgive my parents for abandoning me? Nope. If your kid is sick in hospital, you go and visit them. Period. No ifs. No buts. You don't abandon your children, no matter how old they are.

 

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