This is a story about modesty...

It took 12 days to be "discharged" from my section - that is to say, to be allowed to leave the secure psychiatric ward whenever I wanted. However, it took 21 days before I was actually discharged from hospital: no vulnerable adult can leave hospital without a discharge plan, although I could have discharged myself against the advice of the healthcare professionals who were taking care of me, because I was a free man.

I'd been assessed to see whether I needed to be detained under the Mental Health Act at least 5 times. 6th time lucky.

When you find out for the first time in your adult life, that you're about to be detained against your will, I would've thought that everybody would have a similar reaction: "oh my god, I'm now trapped somewhere I might not want to be, and I don't have any say in the matter" which is distressing.

It's not so much that I didn't want to be in hospital; it's that I couldn't leave even if I wanted to. Although I wanted to be in hospital - because I knew I was very sick and in a dreadful situation - there was still a moment where I thought "oh shit what have I done?".

To calmly accept your plight is not something that would be anybody's natural reaction. Under such stress and shock, it's hard to recognise immediately that any attempt to fight against the system will lead to further difficulties. I was least surprised out of anybody that I got sectioned, having been the one who actually phoned the police to come and get me. Of course, escape is not hard if you're determined enough. I was conflicted - I was safe, but the price I paid was my detention: I lost my liberty.

Running away from a psych ward will result in the police being called to look for you. Britain's most dangerous psychiatric patients are kept in facilities which are far more secure than anything I experienced. I could have escaped easily and the police wouldn't have tried very hard to find me - I was a danger to myself but not others.

Our natural reaction to detention is to panic and start yelling for anyone who can possibly get you out - a solicitor, a social worker, a family member - and to start demanding your rights. There's a process that's got to chew you up before it can spit you out, and once you've just started the rollercoaster ride there's no getting off until the end - scream if you want to go faster.

Despite my messed up state, I knew that I had the right to appeal my 'section' with a tribunal supposed to happen within 7 days. I knew that my dad had the right to request my release, with a decision having to be made within 72 hours. I didn't have much hope that my dad would be helpful, so I requested an appeal.

It's so damn hard to get any treatment for mental health problems, beyond some cheap patent-expired generic medications or a computer-based Cognitive-Behavioural Therapy (CBT) thing. Inpatient hospital treatment, paid for by the NHS, is only given to very unwell people or exceptionally stubborn & determined people. However, when you have been admitted to hospital once as an inpatient under a section, you might struggle to ever escape the revolving doors.

Many of my fellow patients had the same story - they were released from hospital, stopped taking their medication, went mad and were brought back into hospital, where they were forced to start taking medication again... eventually being released and starting the whole process again.

Note, when I say "forced to start taking medication" I literally mean that they were held down by a whole gang of hospital staff members and forcibly injected against their will.

It would be stupid to argue that psychiatric medication is entirely unhelpful. However, one should be mindful that a perfectly sane person who had been taking powerful antipsychotic medication, would experience extremely powerful withdrawal symptoms if they stopped. Antipsychotic withdrawal symptoms are indistinguishable from the spontaneous psychosis that occurs in a person with a mental illness - how can one distinguish between a madman and somebody who's experiencing the perturbations of a brain that's readjusting to medication-free homeostasis?

As we move towards a world where the majority of us suffer near-debilitating levels of anxiety and depression, and psychiatric medications are dished out like candy from general doctors who have no specialist training in the treatment of mental health problems, are we diagnosing disease when we should be looking at what a person's life circumstances are like?

Ironically, I was diagnosed with adjustment disorder, which is to say that I simply couldn't cope with stressful life events - a clinical label for an intolerable clusterfuck of dreadful stuff which could happen to anybody. There isn't a pill for adjustment disorder, yet, although a bottle or two of wine each night is often chosen as self-medication.

The stress of living with 20+ mentally ill men in a locked psych ward is something that most people would not adjust to particularly easily. The 4 walls of my home were replaced with a curtain, which was opened every 15 minutes by a nurse or a support worker to observe what I was doing.

I think psych wards are necessary and I'd rather have the apparatus that treats mental health problems, than not have it at all. This is not an essay that criticises mental health treatment or the hardworking professionals who care for people with mental health problems. I write merely to reflect on my journey through the mental health system, which finally ejected me yesterday. I'm coming to terms with the fact that I was discharged from hospital, and today is the first time in weeks where I have woken up somewhere I can leave without having to ask permission.

Yes, I think that sums up yet another Earth-shattering overnight change to my life: I've gone from a flimsy curtain and a locked door, to 4 solid walls and I'm free.

Tags: #hospital #nhs #mentalhealth

This is a story about subservience...

It's grim up North. I didn't think it would be but it is. Here's Coronation Street. Beautiful, isn't it? Presently, that discarded sofa would be where I'd sleep if I discharged myself from hospital.

Without the crutches of alcohol, benzodiazepines and sleeping pills, I feel overwhelmed by stress and anxiety, because of the precarity of my position. Without a home; without a job; without financial security - there's plenty of rational reasons to be distressed.

People implore me to sit back and relax, but they don't realise that I've got loan payments to make; credit card payments to make; overdraft interest to be paid. To have to spell this out multiple times is frustrating.

"Why don't you just go bankrupt?"

Yeah, nice one, Einstein. Did you know that I do a lot of consultancy for financial services organisations? It's imperative that I have a clean credit record - prospective employers will do credit checks on me. You might as well suggest that I go out and commit a crime and add a criminal record to my list of woes.

"It's too soon to be thinking about going back to work"

Well, unless I'm accepting that I'm abandoning all hope of ever repaying my creditors and suffering a life of poverty at the mercy of the state, then no, it's not too soon. There's a concept called runway that I talked about at length during the first half of this year. I was unwell, but during my convalescence I was running out of runway. What happens when a plane runs out of runway?

In short, I'm driven to seek income, to prop up my depleted finances and keep servicing my debts.

If you're really wanting to poke your nose into the darkest recesses of my life, then you should know that I can easily earn enough to replenish my savings and get onto an even keel, with just 5 or 6 months of contract work in London. That I ever left London seems like a mistake, but I had few options - what I did was the right thing in the circumstances.

Today, I'm detoxed from alcohol and benzodiazepines - the physical dependency has been treated - but it quite literally nearly killed me. In addition to the massive deliberate tramadol overdose, my hospitalisation meant I abruptly stopped drinking and taking benzos, which caused me to have loads of seizures - in short, you should never suddenly stop heavy drinking or taking large doses of benzos, because you could die.

So, one might argue that I'm in a better place than when I attempted suicide. Yeah, I guess the biggest threat to my life has gone - my physical dependency on medications and alcohol.

Now, the biggest threat to my life is me - the desire to be dead is an insistent nagging thought that won't go away. It makes so much sense to commit suicide: all I have ahead of me is stress.

The rebound anxiety - having ceased taking medications and drinking alcohol - is causing me to suffer an intolerable amount of unpleasant feelings. It feels like I'm going to feel awful forever, and who would want that?

Of course, my perceptions are probably warped - nothing lasts forever. However, should I really be living my life just hoping to die of natural causes?

I could be writing about how pleased and happy I am to have a second chance - I survived a very large overdose and other medical complications that really should have killed me: the team at the Intensive Care Unit (ICU) were very surprised that I survived. Shouldn't I embody every trite contrived platitude you've ever heard? Shouldn't I be carpe diem'ing? Shouldn't I be counting my blessings? Shouldn't I be thanking my lucky stars?

Without stopping to consider all the reasons I tried to kill myself, my problems are not going to go away on their own, are they?

If my suicide attempt was an impulsive thing that I had any regrets about, then perhaps surviving would give me some long-lost appreciation for life. However, I'm spine-chillingly cold and rational about the biggest decision that anybody can ever make: the decision to die. Having been stuck in a never-ending cycle of attempts to get my life back together again, I was exhausted and unable to face rebuilding everything again. I'm still exhausted.

There was a fleeting chance that my suicide attempt could have been a minor setback, but I was completely shafted by the company I was working for. The mistreatment I suffered was inhumane; monstrous. I'm almost speechless that I could have been treated so badly.

I'm stuck between three things:

1. To act positively, and go and earn some more money
2. To act negatively, and pursue my legal rights
3. To simply attempt to kill myself again

To follow the first option is to repeat the behaviours I mastered a very long time ago. It was 20 years ago I got my first full-time job; rented my first apartment. It was 20 years ago that I learned about office politics and how to get ahead in life - a life of corporate conformity.

Instinctively, I reject the bullshit that made me unwell. For 20 years I've observed the rats in the rat race, and for 20 years I've observed the world become a shitter place - an exploding population is on collision course with mass starvation; unrestrained fossil fuel burning has led to runaway climate change, which is causing parts of the world to become uninhabitable, killing and displacing billions of people; deregulated free-market capitalism has raped the globe's finite resources and created a culture of wealth-worship where nobody gives a fuck about anything.

To be a principled, ethical man, is a kind of disadvantage - my political philosophies about social justice and a more fair and equal world, are exploited. I find myself screwed over by people who are willing to trample on anybody and everybody, in a desperate and disgusting scramble up the slippery sides of a mountain of dead bodies.

I've proven that I can play by the rules, but the whole game is bullshit and most people are cheating. I don't have anything to prove to anybody anymore; I've shown that I can wear the corporate mask and fit in with the herd; I've shown that I can live a life of subservient conformity, but it drove me to point of taking my own life.

I don't wanna play anymore, and the only way I can see to call time on this bullshit is to kill myself.

I think to myself that I've suffered and that I must turn that suffering into a piece of art - a monument to the stupidity of humanity. It's grandiose and ridiculous to think that a piece of writing could have any useful effect on the world, but this is my only legacy. Do you deny me the facts? To think that I would no longer live & breathe was a shock to many who've stuck with me and followed my story.

Of course, I'm sick and I've got "insight" into my illness - that is to say that I can consider an objective point of view. It's natural that I'd be feeling terrible, only 24 days after I very nearly managed to kill myself. It's natural that I'd be feeling terrible, given the clusterfuck of issues I've got to sort out if I want to go on living. I can see that I may very well be feeling unnaturally anxious, because my brain is re-adjusting to life without booze and benzos to soothe the stresses that are ever-present in the world.

A doctor suggests that I avoid the news, political protests and other things that I might get worked up about. Is this akin to a lobotomy? I think I would very much like a lobotomy... that's how I arrived at the brain-numbing chemical lobotomy that I swallowed every single day. Unfortunately, my brain is very much intact.

Why am I still so painfully conscious?

Tags: #suicide

This is a story about being overwhelmed...

I sit sunning myself in the park. It all looks very idyllic, doesn't it? How enviable my life is - I have not a worry in the world. Wouldn't you too, love to be as footloose and fancy free as I am? Wouldn't it be great if you were unburdened from all your responsibilities and worries, and could just cavort around doing whatever the fuck you wanted, just like me?

A friend phones me. He tells me that all my problems are all my own fault. I can't disagree with him. He tells me that I'm self-centred. I can't disagree with him. He tells me some stories about some problems in his own life. I can't say that my woes are worse than anything he's been through. He tells me about how tough things are in the developing world. I can't disagree.

My head buzzes with thoughts. My thoughts aren't racing; they're quite rational, reasonable, structured and logical. My thoughts aren't warped by a broken ability to correctly perceive reality - I corroborate how I'm feeling with people who are considered to be sane, to validate that I'm not thinking what I'm thinking because I'm unwell.

I've been seriously unwell before. I sat in ice-cold bathwater for hours with a sharp knife at my throat, keeping my elbow on the bathroom door so that if it was opened it would drive the blade into my jugular vein and carotid artery - that was unwell.

I've been seriously unwell before. I've imagined people abseiling down the side of my apartment block who were going to smash in my windows and come into my bedroom. I've imagined that I'm being spied upon. I'll leave it to the reader to conclude what psychiatric label is usually attached to such thoughts.

I've been seriously unwell before. I spent 12 or even 18 hours at a time, trying to make something out of cardboard, string, plastic, rubber, metal, wicker, cloth or whatever else was lying around. I was once convinced I was building a house around myself, but when I had a moment of lucidity, I realised I had simply been moving the same cushion around in a small circle, in a trancelike state.

Of course, I'm not claiming to be well at the moment.

It's been suggested to me by a few people that I could be malingering - that I took an overdose that was very likely to kill me in circumstances where I was very unlikely to be saved, fully knowing that I would survive... somehow; that I managed to fake mental illness so well that I was brought to hospital under a section 136 by the police, and that I continued to fake mental illness so well with the team who assessed me, that I was detained in hospital under section 2 of the Mental Health Act. It's either the greatest ruse - a masterful piece of deception and death-defiance - or maybe it's really easy to abuse the few brain cells I still have left, for nefarious purposes.

Anyway, I'm not supposed to be writing about myself. Think about the starving African children.

Where do you think I live? How do you think I eat?

I'm dependent on charity.

Park bench.

Yeah, damn straight I'm glad I was born in Northern Europe, in a wealthy country where we have a welfare state. Damn straight I'm glad I don't live in some hot dusty shithole, where hunger and disease are rife.

"I want to go home"

My home is this park bench. It's true, I have received kind offers to live with a couple of very charitable people. It's a big deal, to invite a mentally ill, recovering alcoholic, recovering addict, into your home. I bet you wouldn't do it, would you? I probably eat newborn babies and stomp on kittens' heads, just for my own sick amusement.

"I want to go home"

I hear people asking to go home a lot. Every day I hear people shouting that they want to go home. I don't ask to go home. I wonder why?

I chat to somebody about living in a caravan and hiding from debt collectors. My heart leaps. I yearn to escape the relentless pressure I feel to get back to work and start turning the pedals again, but I'm conflicted - I'm a principled man and I want to service my debts; I want to play by society's rules.

Nobody plays by society's rules, except those at the bottom who are trapped into poverty - they have no choice. I've played by the rules for long enough, and it's made me so miserable that I tried to kill myself. People urge me to take a break from the rat race, but they don't understand that the house of cards is going to collapse - there's a lot of money riding on me being able to get back on my feet.

Like a sportsman who chokes at the critical moment, I feel immense pressure to perform and it affects me.

It sounds like I'm pointing the finger of blame everywhere other than myself. Is that your signature on a contract that says you would accept Payment Protection Insurance (PPI) on that loan? Why didn't you read the contract? Did you take out that endowment mortgage or didn't you? How come you didn't understand something that was completely straightforward? Why won't you take responsibility for your obligations?

My friend is right. My life is a problem of my own making.

This whole fucked up mess is a problem of our own making. We are joint and severally liable - do you understand what that fucking means? Do you own up to your part that you've played in all of this?

I'm trying to do my bit and it's making me unwell. So unwell in fact that I tried to kill myself. I mean proper kill myself - dead, forever, gone, finito, sayōnara, the end.

Either I'm the most devious bastard that ever disgraced the surface of the Earth, or circumstances are somewhat out of my control - I'm not fully responsible for the gigantic mess I'm in. Of course, I'm a very convenient scapegoat though.

Although it seems very disjointed and jumbled, this blog does not write itself effortlessly. This blog is not unimportant. This blog is important to me, so that's at least one reason why it's important - I don't need any more than that. Call me selfish and self-centred all you like but I've tried to remove myself from the picture, and I failed. Am I supposed to be sorry that I'm not dead, and I'm still wasting your precious oxygen? Am I supposed to apologise for writing something that you could choose not to read, if you wanted to?

Think about the starving African children. Wow I'm cured!

Tags: #mentalhealth #homeless #suicide #bipolar

This is a story about customer service...

Amongst a small group of my friends, we have all found that a medication called pregabalin - marketed as Lyrica in the UK - has been useful to us, but also has adverse side effects and is difficult to stop taking. Pregabalin is quite good at combatting anxiety and improving sleep, which are obviously the desirable effects: most of us have stress in our lives, and struggle to get enough high-quality sleep. Personally, pregabalin is an effective treatment for the phantom limb pain I feel, due to damaged nerves - I can't feel my left foot. Pregabalin is far better than the opiate painkillers, which left me sweating and nauseous at times. However, stopping taking pregabalin leaves me feeling anxious and gives me insomnia - what goes up must come down.

Soon pregabalin - "the new Valium" - will be scheduled as a class C controlled substance, which makes it much harder to obtain a prescription, and possession without a prescription could be punished with a criminal conviction.

Here on the psych ward, a man screams for a "blue tablet". Perhaps more blatantly obvious as an addiction, another man attempts to wheedle more Subutex (buprenorphine) out of the staff - he's been droning on about having his dose restored from 8mg to 16mg, because he is being weaned off the synthetic opiate he is addicted to. I can hear this guy, who is obviously no stranger to our prison system, chopping and snorting drugs his room. The man who screams for a "blue tablet" is actually asking for a 10mg diazepam pill - blue in colour - which is Valium. Our screaming friend decides he wants to leave hospital, and the staff tell him he can't leave because he's going to take heroin. "It's my body! I do what I want!" he screams. Then, he starts getting abusive.

Early on in my hospital detention under section 2 of the Mental Health Act, I ask a nurse if she can nip to the shop to get me a 4-pack of beer. We lock eyes for what seems like an eternity. I maintain a completely straight face. Then, we both snigger and she regains her composure. She jokes that we should have a big piss-up on the ward. With a different nurse, I tell her with a straight face that they have forgotten my methadone and she immediately unlocks the cabinet containing the opiates that are so coveted by some patients here... I hastily tell her that I was joking, but she still continues to search my medication chart. Do I look like a junkie? I certainly don't have track marks on my arms or other identifying features of an injecting drugs user, such as abscess scars.

A doctor comes to take my blood. She doesn't shut my bedroom door. Three men, who I know were heroin users, peer into my room and I feel bad that I didn't ask the doctor to close the door or get up and close it myself - surely the sight of a needle going into a vein is going to be a terrible trigger. There's good evidence that addicts' brain reward pathways are activated when they see drugs and drug paraphernalia for just 33 milliseconds, which is less than the 40 milliseconds that a single frame of cinema film is shown for.

Having been detoxed from my physical dependency on benzodiazepines and alcohol, I find that I crave nothing more than a few drinks in the evening - some wine or some beer - to take the edge off the stress and anxiety of my situation and help me relax during what is a fairly dreadful clusterfuck of issues with employment, housing, accommodation and my health. However, I don't want to sabotage my treatment and recovery.

I'm incredibly grateful to the NHS, for accidentally detoxing me while they were treating my deadly deliberate overdose - my suicide attempt. Being physically dependent on a medication is to be shackled to it - to stop taking it would cause seizures and potentially death. There wasn't a 'buzz' that I was chasing with booze & benzos. I was using mind-altering substances to soothe my jangled nerves: self medication.

Am I glorifying drug taking, or making light of serious matters? Don't be so ridiculous.

An epidemic of illicit opiate use sweeps across the United States, with the number of overdose deaths and addicted babies born, skyrocketing in the past few years. An epidemic of mental health issues has pushed the services that are there to support those who become unwell, to breaking point. Only a wilfully ignorant person would turn a blind eye to what's happening all around us.

Carfentanil - a synthetic opioid - is so powerful that an aerosol of it could be sprayed in a packed metropolitan area and cause hundreds of people to die from respiratory arrest. This drug is being sold as an adulterant in bags of heroin, in the United States today. In the UK, carfentanil's less potent - but still deadly - chemical cousin, fentanyl, is quite common now in batches of street heroin. If you're worried about terrorism and weapons of mass destruction, these things have already arrived on the shores of the US and UK, in the form of incredibly deadly chemicals that are available for sale to anybody with the money.

My fellow patients are unrelenting. There's been a 2-day nonstop assault on the staff, as the patients attempt to get a tiny amount more synthetic opiate out of the doctor. There's not much else to do on the ward, and whatever medications the doctor has decided to write on their chart will remain fixed for a whole week. I guess they've got nothing to lose apart from their 30 minutes of escorted leave from the ward. One patient has done a runner, sensing that the doctor's decision has not gone the way he would prefer.

"You've not done anything wrong. You can come back and you won't be in any trouble" a stressed looking nurse is saying down the telephone, to the patient who has gone AWOL. Meanwhile, a patient takes breaks between harassing the staff for 8mg more Subutex, in order to chop and snort lines of white powder in his room - presumably he has a plentiful supply of his own drugs, which he wishes to supplement with a legal prescription.

I try to calmly await my section tribunal, despite the chaos outside my bedroom door.

It should be noted, that the quality of care does not vary with one's behaviour - the staff are supremely professional - but good manners are declared as the number one thing that every staff member wants, on a notice board that tells the patients a little more about the team of people who look after us.

Good manners cost nothing.

Tags: #hospital #mentalhealth #drugs #addiction

This is a story about ganging up on people...

I was born in late July. If I was born in late August, I would have been the littlest kid in my school year, but I was born a month earlier and I was probably the second littlest kid in the school year, for a long time. I gravitated towards kids from the year above, who adopted me as a kid in need of protection, or kids from the year below who were grateful to have an older friend. As school wore on, some kids put on early growth spurts, and I gravitated towards the tallest kids. I suppose I felt safer scampering around in the towering shadow of these giant figures. It wasn't until I left Oxford - where I had the bulk of my schooling - that I finally put on a late growth spurt and finally had the physical assets with which to defend myself.

Fundamentally, I'm a lover not a fighter. I'm a pacifist and non-violent at heart.

In my time in hospital, I've encountered two tiny little old men that I want to tell you about. I shan't breach their confidentiality, but they dovetail into my story and I think it's ethically OK to share.

The first little man was at a treatment centre for dual-diagnosis - mental health problems AND substance abuse combined. This little chap only had one tooth in his head, and his circulation was dreadfully affected by a needle fixation that meant he'd inject anything he could get his hands on. Not wishing to cast negative aspersions on a vulnerable person - my fellow patient - but I'm sure this chap was never the brightest, and a life of drug abuse had certainly done nothing to enhance his intellect. This might sound like the pot calling the kettle black, which it is, but fundamentally I'm not going around trying to pick fights with people who are taller than me, heavier than me and in much better physical condition, regarding fitness, strength etc.

I feel now is probably an appropriate moment to tell you about prison.

I've never been to prison, but I think it's like a scaled-up version of all the shittest bits of school. Basically, school seemed to me to be like a holding pen for a lot of kids who were destined for a life that was going to be in and out of prison - you could see it on their feral little faces.

In prison, there's far too much testosterone and far too few women, plus it's jam-packed with children who weren't loved enough when they were little or whatever it is that makes a violent bullying child. It's not something I've put a lot of thought into - yet - so I shan't wander further up a dead-end alleyway of speculation without a working hypothesis based on a reasonable set of facts.

What I can tell you about prison is that it takes violent men who are struggling to play by society's rules, and turns them into violent men who believe that violence is the only iron rule: you can almost pick out a man who's been in prison, by the way that he will escalate any situation into one of violent confrontation as quickly as he can, in order - presumably - to ward off a beating from bigger inmates. "COME ON THEN! LET'S FUCKING 'AV' IT!" scream men who presumably, have had their faces pommeled into pulp one too many times. Like a Chihuahua dog, yapping "don't tread on me!" these little men must've had to use some kind of psychological trick, to avoid becoming victimised.

The second little man is in a hospital in the North of England, on the psych ward with me today. This determined little fellow is in far better physical shape than the other guy I described, but he's still a very small person. My diminutive fellow patient has retained far more of his mind than the other guy, or perhaps it's that he started with a very impressive brain indeed - this guy managed to start a chain of adventure sports shops that is well known today, with at least one branch in every UK city. To this end, he waits until I'm about to turn the corner, at least 50 feet away, before he starts yelling aggressively at me. I note, that he does not yell that he himself is going to rain down any physical blows on my head, but instead shouts about how big his nephew or his cousin's friend is or something like that - I smirk to myself when I'm safely out of his sight... yes, that's the smart thing to do: to get somebody else to do your fighting for you.

So, do I think I'm a right smartarse? No. I'm just fighting for my life, even though you can't see what's going on under the surface, 99% of the time.

Tags: #bullying

This is a story about the straw that broke the camel's back...

You'd think that the closest I ever came to finishing this suicide note - and ending my life - would have been the time both my kidneys failed and an old ankle injury made it almost impossible to work. I also lost one of the best IT contracts I've ever had and became hooked on legally prescribed pain medication, which pretty much scuppered my ability to get another contract. I was running out of money fast, but struck down with physical and psychological problems - depression - I could barely function.

My girlfriend at the time was exhausted after spending weeks in hospital with me, while the survival of my kidneys was in doubt. She came to all my outpatient appointments. She helped me hobble around and get my prescriptions for my pain. Then, I dumped her. She was exhausted and she'd just been to Cornwall - Land's End - to meet her new nephew. I had a crisis while she was away and in her state of tiredness, she couldn't think straight. In the state I was in, I needed her help, but to me she didn't seem to care - that was my warped perception, at least. I immediately broke up with her, because what seemed like life or death to me didn't seem to matter to her due to compassion fatigue and physical tiredness. To my messed up mind it seemed as if she didn't care about me, when I desperately needed her help.

Having no girlfriend, no job, no money, bad health and a ridiculously expensive riverside apartment to keep up the rent & bills payments on, losing a loan that had been promised to me by my girlfriend, further compounded a dreadful situation.

I sold a lot of my most precious things, even though I knew that the money would barely cover a month's rent. Being a high earner, most welfare benefits were inaccesible to me and to have a black mark on my credit score would preclude me from ever working in banking again.

I became hopeless, resigned to a fate of eviction, bailiffs, debt collection agencies and destitution. The best option was to spend 28 days in hospital, said my psychiatrist - at least I would be safer there.

My trigger finger was itchy, but I knew that if I could beg a sofa or spare bed to sleep on, I would at least avoid another period of homelessness. One of my Twitter followers offered her spare bedroom and things briefly looked up, but then she changed her mind. One old friend offered to put me up in a bed & breakfast for 2 weeks, which would have been welcome respite. An old schoolfriend said if I was desperate I could couch-surf in his 1-bedroom apartment, where he has a 4-year-old daughter. Three offers, which gave me a momentary boost, but at the same time, it's somewhat depressing that of all the people I know on Facebook and Twitter who have generously proportioned houses, nobody else even offered to let me pitch my tent in their back garden... my experience of dealing with the local council and government benefits system means that you're just plain wrong if you think all those taxes you pay mean you won't end up sleeping rough, if life doesn't treat you well.

I always had a plan - 336 tramadol tablets - that would virtually assure me a swift and painless death, but I always felt a few steps removed from actually following through with it.

I'm so exhausted and unwell at the moment, in a stressful (but rewarding) job that it took hardly anything to push me over the edge to the most suicidal I've ever been. Losing my new local girlfriend and the accompanying social group, would be too much to bear, when I haven't the energy to grieve the loss and to pick myself up again.

There was no doubt in my mind about what the plan was. I could visualise the steps. It took every ounce of effort and willpower to overcome the urge to simply empty the 336 capsules into a small glass, add some other opiates that would cause respiratory arrest, and them simply get drunk until I passed out... probably less than 60 minutes, and I'd have departed from this world.

It might seem rash; an overreaction, but the rollercoaster ride I've been on has left me without a single percent of spare capacity. Even something minorly inconvenient or unexpectedly going wrong, can cause a seemingly disproportionate reaction.

I wasn't scared. I wasn't hesitant. It would have been done, and that would have been that. Call it a strength if you like - I can take bold fearless actions, even if they would certainly cause my life to be ended.

The scary thing is just how quickly I would have acted, having started the process. Less than an hour, to be a cold white corpse with purple lips and rigor mortis setting in. "Will I feel differently in an hour?" I asked myself, hypothetically supposing that I delay my deadly potion in order to see if my mood changed.

Luckily, I acted positively and pursued a more favourable resolution to what was almost certainly going to be a breakup. She said she wasn't going to pick up the phone or reply to my messages, which would perversely have only accelerated the commencement of my death ritual.

While it looks like a sudden thing to do over a very trivial trigger, things have to be seen in the wider context. I know how depressed and lonely I was before I met this girl and her friends. I know that the effort involved in courting her almost cost me my sanity, stability and job. I know how hard things have been at times during the umpteen years I've been diagnosed with clinical depression. At some point, you're so sick of a miserable life, that you'll gladly welcome the end of the suffering.

I felt a little bad about leaving the project I was working on unfinished, but I'd done the hardest bits, so most of it that was left to do was copy & paste.

I didn't feel any sadness or guilt, for depriving friends and family of the living version of me. Less than 1% of the people I'm in contact with, offered any kind of assistance when I was in a crisis. Basically, I mean fuck all to anybody, no matter what they say.

I'm sleep deprived and my brain chemistry just isn't right at the moment, but still, I know when it's time to go - you get sick of all the bullshit of living, Being alive is over-rated. It's been mostly suffering for me (boo hoo! get the violins out).

So, that was the time I nearly killed myself, deliberately... a close shave.

Tags: #suicide #depression

This is a story about trying too hard...

"You've got to meet my friend..." she enthuses. "Can [my friend] stay at your place on Saturday?" she asks, well in advance of the weekend. "You two were separated at birth - you share the same spirit animal" she tells me. The pressure to get along with this new person - talked about in reverential terms - is immense.

She's planning a meal out. At the restaurant, I'm told that I'm going to be sat specifically next to this over-hyped friend, because it's assumed that we are going to get along like a house on fire. That's an arson joke, but we'll get to that later.

Friday - the night of the meal - all my new friends-to-be had signed a card to welcome me into their lives. There was a helium balloon on the table, like at a 5-year-old's birthday party. Nobody ever went to such elaborate lengths to make me feel a sense of belonging; acceptance. I was almost moved to tears, but I had a job to do that night: to meet & greet and make a good first impression.

We were eating dinner - Brazilian barbecue meats - and my 'spirit animal' was sat in the corner of our booth, not eating. It was announced - against her wishes - that she had been on a 4-day drug binge, taking what is colloquially known as "meow meow". Unsurprisingly, an exclusive diet of powerful stimulant drugs does not give you an appetite for anything of nutritional value. Sitting in a restaurant is probably the last place on earth I'd ever want to be after a binge like that. I decided to temporarily park any "getting to know you" chit-chat with her until a time that my spirit animal was in a better place, physically & mentally.

After dinner, the group began to fracture. There were some who wanted to go to a packed noisy pub selling lousy overpriced drinks, and others who preferred to come back to my nearby apartment, where we could all have a comfortable seat on my big couches, and converse without having to shout - a bona fide middle-class thirty-something cliché: the house party.

One reason for the success of the house party is that it's a far better environment for the consumption of recreational drugs. I'm not foresworn from drug use, but to me, addiction is not a social activity. My general personality and attitude - no fear & everything to excess - had led me to drug overdoses of supercrack that put me in hospital with multiple organ failure. My drug taking was not recreational - it was abusive, reckless and akin to playing Russian roulette with a 6-bullet revolver loaded with 5 bullets.

If you have successfully made yourself a comfortable wealthy middle-class life, it's your mortgage repayments and other household bills that keep you awake all night, not powerful Class-A narcotics. To lose just one night of sleep and have the mentally destabilising effects of recreational drugs, has a profoundly negative effect on the week that follows. I never noticed that my weekend partying had a negative knock-on effect on me when I was young, but now my age has now become a factor.

One of my new friends - who's the same age as me - did the sensible thing and headed home at a reasonable hour. He had his sister's wedding on the Saturday and he appointed me as the responsible adult, in charge of putting the girl who was going to drive him to the wedding, into a cab, in time for her to then drive a gazillion miles across the country. "How are you going to stay awake and concentrate on the road after partying all night?" I asked her. "Amphetamines" was her answer. I can't fault her logic - if it works for fighter pilots, then why wouldn't it work for an ordinary car driver.

Fighter pilots have "go pills" and "no-go pills" which are taken respectively at the beginning and end of a mission. I offered to make her one of my special "no-go" preparations, so that she wasn't wired as hell at the wedding and clearly off her nut on speed, but she declined.

At the first ever party I've thrown in my new apartment, it was snowing. When the "good stuff" started to run out, Billy Whizz came out for a run. The white dusting on a makeup mirror started to become a hybrid mix of different substances. Molly came for a visit too.

Predictably, like any party that Charles is invited to, the whole room was talking over the top of each other and making boastful claims. For some reason, my reaction to this was to admit that I'm a grower not a show-er. This prompted one of the guys to claim that he was both a grower AND a show-er. Having been dared to get my dick out and show him I duly obliged in front of my guests. This guy then took me in the kitchen to prove one part of his aforementioned claim: he did have a substantially proportioned soft penis.

I then asked the room for their opinion on a classic ethical philosophical dilemma thought experiment, knowing that it would provoke lively and entertaining debate. Soon, this prompted a couple to leave the party, almost without saying goodbye because they were still arguing about the 'right' answer to a question that divides legal, moral and scientific opinion. "Bullseye" I thought to myself.

With Charles still having a strong influence on the room, oneupmanship raged out of control. We ended up comparing scars. While the girls were not exactly thrilled to show off any evidence of self-harm, me and the guy with the big [soft] dick debated who had the better scar from an operation. This segued into "who's spent more weeks in hospital?" as I steered the competition towards "who's the most insane?" knowing that I would easily be the undisputed champion.

At this point I was getting a bit bored with the war of words, so I just rolled up my sleeve and slashed 3 or 4 cuts into my arm with a kitchen knife. I then became immediately aware that I was so desperate to impress my new friends that I had just mutilated my body in a sudden act of self-harm.

With the theme returning to dares again, my 'spirit animal' dared me to suck my own penis. I explained that without an erection, it would be a difficult act to fulfil, but in the spirit of the dare, I asked if she would be content to see me lick my own foreskin. She confirmed that it would satisfy the conditions of the dare. Without hesitation, I dropped my trousers and got my soft penis as close to my mouth as I could, and then pulled my foreskin until I could touch it with my tongue - it was actually easier than I thought it would be. Obviously, there are not that many people - especially growers not show-ers - who would drop their trousers and suck their own dick for the amusement of their guests. This was a far more impressive feat of courage than cutting my arm with a kitchen knife.

After that, the number of crazy anecdotes that I could tell were stories that all revolved around a similar theme: being hospitalised or locked up in police cells. The stories that drug addicts tell are not that varied or interesting.

I decided to demonstrate my culinary skills in the kitchen. With an unspecified secret ingredient - some of the snow that was falling earlier in the evening - I gave a practical demonstration of a chemistry experiment. Namely the conversion of a salt to a "free base" where water, carbon dioxide and sodium chloride are isolated as 'useless' byproducts. This chemical reaction allows a salt with a high melting point - which would combust in the presence of a naked flame - to be altered into a crystal with a low melting point, allowing it to be vaporised without burning.

With sodium bicarbonate mixed with the mystery ingredient, in a spoon, a few droplets of water were added. The carbon dioxide fizzed away in a delightful effervescent chemical reaction. A few pinches of sodium bicarb later and we reached the point where the fizzing stopped. Then, I heated the spoon and boiled away the salty water, leaving only the "free base" crystals.

What would you do with this crystalline substance, one might ask?

Well, first, you need to take an empty beer or soda can and make an indentation at the opposite end from the bit you drink out of. Then, perforating the thin aluminium of the can with a pin, you can create an area where air may enter the can, when you to suck on the end you'd normally drink out of. Another option - if you can find such an object - is to take a hollow glass tube and put wire wool (Brillo pads work well for this) into one end.

Having allegedly made this concoction and strange contraption - which was all part of me showing off what a badass I am - I had allegedly demonstrated how to make crack cocaine and a pipe to smoke it. There couldn't have been a more "fuck you - I'm fucking hardcore" demonstration of how 'streetwise' I am, unless I'd whipped out some rubber tubing, a thin aluminium spoon, clean pins (hypodermic syringes), a small ball of cotton wool and proceeded to 'cook' a batch of heroin and prepare it for injection. I've never injected heroin by the way, although I did have fentanyl - which is 1,000 times more powerful - injected into me in hospital. Most people are afraid of needles and associate needle use with people whose drug addiction has led them to a completely dysfunctional life that consists of a miserable merry-go-round of theft/robbery/prostitution, 'fencing' stolen property, scoring herion and then getting high until there's no drugs left and there's only 4 hours until you get "junk sick" and have to repeat the whole exercise again.

Before I put the last of my party guests into a taxi - my friend who was driving to the wedding - at about 6:30am, three of us insufflated a few final lines of white powder, allegedly.

My spirit animal had a nice time until the drugs started to wear off, and then cognitive impairment, a drug-induced panic attack and akathisia (inability to stop twitching/tic'ing and/or jiggling of legs) left her in a rather sorry state where it was pretty clear that she was suffering from an unpleasant ordeal. I tried laughing at her. I tried telling her to stop being such a wuss, given the relatively 'mild' binge that she'd been on - just 4 or 5 sleepless nights, and relatively low doses of very impure drugs. In the end, I took pity on her and made her a little shot glass with things to cure her anxiety, replace lost dopamine and serotonin, and basically put her to sleep - there's no 'magic bullet' for insomnia and sleep deprivation, but sleeping pills damn well help. I threw all manner of things into my special 'comedown cure' that would ease her suffering. She was talking gibberish; she couldn't understand what I was saying, and I had to spend 20 minutes trying to maintain her concentration and eye contact for long enough that she could swallow what I'd prepared for her. Then, finally she fell asleep with a look of calm on her face. I don't mind babysitting the occasional person who's going through the consequences of 'self-inflicted' shit, but it would have been inhumane to let her suffer unnecessarily.

Saturday night, I made her another concoction that would prevent "the Sunday from Hell" where the consequences of an outrageous drug binge were brought into sharp focus by the need to start work again on Monday. "I want to order a pizza" she announced at about 11:30pm, having swallowed the curative remedy only 10 minutes earlier. "You have 10 minutes to get into bed, otherwise you're going to pass out on the floor" I warned her. My earlier good work had moved her out of binge mode and into a state where her appetite had returned, but 8 more hours of quality sleep was vital for both of us. The die was cast.

10 minutes later, I pulled her mobile phone out of her hand - the pizza company's number half-dialled - picked her up from the floor where she had collapsed in a most unladylike position, and carried her to bed. I was so tired that I could barely see straight to send a couple of texts before I passed out too.

After 9 hours sleep, we both awoke feeling pretty damn refreshed, considering the way we'd abused our bodies. I'd improved her average daily sleep time for the week, from 2.5 hours to 5.3 - more than 100% better. Ideally, we would all have perfect sleep hygiene and get 8 hours a night. I needed to end her drug binge, save her from many hours of unnecessary suffering and let her catch up on desperately needed sleep. I was giving her a fighting chance of not losing her job, thus spiralling even further downwards. This is about the best you can ever hope to do for an addict until they're ready to acknowledge that their addiction is rampaging out of control. Addiction always leads to complete & indiscriminate destruction of your entire life, health and will prematurely kill you.

I incurred the wrath of my 'spirit animal's' best friend for not condemning her addictive behaviour. Do I have the moral authority to lecture anyone on their lifestyle? I know better than anybody else I've ever met, how you can go from riches to rags. Supercrack was the paving stones of the road to Hell - hospitals, police cells, hostels and sleeping rough. I overcame my addiction to one of the most powerful drugs on the planet, as well as dealing with the total destruction of my life - divorcing my wife, selling my house, losing my job. So it would seem that if anybody's got an opinion that's worth respecting, it'd be mine. However, humans' relationship with drugs & alcohol is way more complex than "this is bad for me so I'm going to stop"... otherwise nobody would take drugs, get drunk, smoke cigarettes, drink coffee or energy drinks.

We live in a world where we try to find somebody with anatomically opposite genitals to us, squirt some love snot into them, and then spend the next 18+ years looking after our blood and mucous covered alien-like midget progeny, that was painfully ejected from the girl's sex hole. Human behaviour does not follow purely rational rules.

Human use of intoxicating beverages and preparations of plants that contain bitter alkaloids - with the intention of seeking psychoactive effects - is behaviour that's almost as old as cave painting, making fire and sharpening pieces of flint to make spears.

My kidneys are over 50% recovered from my last hospital visit. The facial tic that was caused - quite literally - by brain damage, has now repaired itself. The people and places that are no longer in my life because of supercrack addiction, have been replaced by a new city, new home, new job and new friends. Yes, it could've been worse, but believe me... nobody needs or wants to be told the bleedin' obvious. If it was just a case of saying "fire is hot and will burn you" and "knives are sharp and will cut you" then we'd see a 100% reduction in those injuries, by the bullshit logic that we need to nag and shame addicts into fixing their dirty little habits.

Often an addict is conveniently labelled as a black sheep, and becomes entertainment for the group that surrounds them. Lots of concerned hand-wringing and "we need to do something" empty talk goes on, but all that really happens is that the addict becomes a pariah, with nobody nonjudgemental left to turn to - it's the loneliest thing... lonelier even than being a homeless person injecting heroin under a bridge. Trust me: to spend time in the company of addicts and alcoholics who make no secret of their loss of control and the destruction of their lives, is to gain a nonjudgemental social support network that can make the difference between life & death. Fuck any condescending prick who thinks they're a moral authority who can sit in judgement and save you from yourself. Even with my stories of drug-induced insanity, hospitals, police cells and psych wards being by the far the most extreme you've ever heard, I can't tell an addict or alcoholic what to do with their life.

To hear the same hectoring, lecturing bollocks from people who [do or don't] know what it's like to realise you've overdosed and you've got 30 seconds to dial 999, or just let yourself die... it's not working, is it? I don't know if you've seen the stats, but only Portugal is winning "the war on drugs" and the way they're doing that is to destigmatise and decriminalise drugs, despite immense pressure from the United States to stop saving lives and improving the wellbeing of the Portuguese people.

So, that was the weekend that was full of drug-fuelled insanity that would supposedly trigger me to relapse back onto supercrack. Bullshit.

Tags: #addiction #friends #drugs

This is a story about irreversible decisions....

Nearly 400,000 people killed or injured themselves using a gun, in the United States in 2016. That's 1 one 1,000 Americans, who them will shoot themselves each year.

In the United Kingdom, the only way for me to get a gun is to buy one on the dark web. For me to possess a firearm without a license and keep such a weapon without a locked gun cabinet, contravenes many British laws. In short, deadly weapons are outlawed in the United Kingdom and to 'bear arms' could see me imprisoned.

For £8.40 I obtained 112 tramadol capsules, which are contained in the brightly coloured box pictured above. The aggregate weight of the deadly opiate within this box is 5.6 grams. An overdose of tramadol is considered to be anything above 0.4 grams. Therefore, this box contains 14 times the maximum 'safe' dose. Death would be a certainty, if I was to swallow little more than a couple of mouthfuls of this medication.

Perhaps, you are thinking, that I procured this deadly substance through the dark web. In fact, I had been prescribed this pain relief treatment by my doctor, and I had collected three of these boxes quite legally and within my rights as a British citizen.

For £25, I had stockpiled enough pills to end my own life several times over.

In a deal I struck with my psychiatrist, I surrendered two out of three of the boxes that I was entitled to possess. My general practitioner (GP) had authorised a pharmacist to dispense this controlled substance to me... little did they know that I had already weaned myself off these addictive opiates and had amassed a total of 336 capsules, which contained approximately 17 grams of tramadol in total.

For many citizens of the USA, they consider it an inalienable right to own guns. Equally, I reserve the right to end my own life peacefully, painlessly and without undue suffering.

In the UK, people throw themselves under trains or hang themselves. If you are kiled on the railway, the driver of that locomotive will have to live with the recollection of seeing you hurl yourself onto the tracks; somebody will have to collect your body parts, put them into a body bag and take them to a hospital morgue. If you hang yourself, somebody will find your lifeless body suspended by whatever cord you chose to make a noose out of... they will have to cut your lifeless corpse down, and there will be clear evidence that your final moments of life were not at all pleasant for your body: your bowels and bladder may well have been involuntarily emptied and the ligature to your neck will have caused significant trauma.

The smallest amount of blood, semen, faeces or urine, seems to spread out far more than any other substance. A person who has chosen to evacuate the contents of their veins and arteries will be as white as a sheet, and there will be a shocking contrast with the dark red life-giving substance - their blood - that has been deliberately emptied from their body. 

Does it not seem better that if one has to deal with a cadaver, that it should be less physically mutilated? Does it not seem humane that people should die with the most peaceful expression that's possible in the circumstances?

What should I say about the sudden darkness that descended on me yesterday? There's little point in offering fake reassurances that everything's OK. The truth of the matter is that I live life with daily precarity, and with only a few bare bones of a social skeleton around me - seemingly inconsequential events lead to a disproportionate response. "It's not the end end of the world" somebody might say, and they're right, but when you're already close to the tipping point, it doesn't take much for it to be the end of your life.

I've done a zillion things impulsively in my life. None of those rash decisions have led me up a dead-end alleyway, yet.

There's something tantalisingly alluring about swallowing a couple of handfuls of pills and then slipping peacefully into unconsciousness. Even if I was to have seizures before I finally gave up the ghost, I would be completely unaware of my body's struggle to keep itself alive. How wonderful, to have the option to end the suffering on a whim.

To think that I'm being flippant or making light of the final decision that I'd ever make is not true.

One of the reasons I quit drinking a couple of years ago - for 120 consecutive days - is that I was afraid of acting impulsively while intoxicated. It's one thing to wake up with a hangover, thinking "why the fuck did I say/do those things?" but it's quite something else to not wake up at all.

I live with a toxic combination of a high-stress job, financial pressures and limited social support. Beyond Facebook and Twitter. I've retreated into a world of technology. The few close friends that I have are hand-picked because they're loyal and sympathetic towards my circumstances, which - I assure you - are not a result of free-will choices or preplanning. To have a seemingly minor setback might cause irrational behaviour, but so fucking what? Please show me the contract that my brain has signed up to, saying that it will always think rational things.

This blog was supposed to be a short and sweet message of reassurance, after a 'cry for help' yesterday. It was not nice wandering around the city centre for a few hours, hoping that the awful imperative to hurt myself, would pass harmlessly.

Tags: #suicide

This is a story about mass consumption...

"I need to stop drinking so much" I think to myself ridiculously frequently. Alcoholic drinks are very fattening and I'm not doing enough exercise. A combination of a sedentary job, depression and a physical injury, have conspired to give me every possible excuse I need, to spend my spare time in a state of intoxication. Banks grease the wheels of commerce - so we are taught in economic theory - and alcohol is the oily lubricant for every kind of social situation imaginable: births, weddings, celebrations & commiserations. I doubt the United Kingdom would achieve a fraction of its productivity, without the motivation of knowing we can have a beer or a glass of wine, when the working day is done.

It should come as no surprise to you that having lived on the ragged edge my whole live - an adrenalin junkie and extreme sport enthusiast - I would turn every knob and dial up to "11", give it 110% and to take things TO THE MAX, yeah!

The UK's chief medical officer recommends that I drink no more than 140ml of alcohol per week, which is 20ml per day. A conservative estimate for my current alcohol consumption would be 100ml per day, which is 5 times the recommended healthy limit. Each week, instead of drinking 140ml, I am drinking 700ml at least.

I have 3 pints of 4.8% strength beer after work, with my colleagues. An imperial pint is 568ml, and 4.8% of 568ml is 27ml. My daily allowance is 20ml of alcohol, so a single pint of beer already exceeds my daily drinking allowance by 35%. By the time I've drunk all three pints, I've had 82ml out of my weekly allowance of 140ml - 59% gone in a single social outing, and just 41% left for the rest of the week.

I have a bottle of wine at the weekend - a two glasses on Saturday, and a glass with my Sunday lunch. Wine bottles contain 750ml, and wine is around 13% ABV, so therefore that adds up to 98ml more alcohol, on top of the the 82ml I already drank, making a total of 180ml for the week - an excess of 40ml versus my recommended weekly allowance, which is 29% more than I'm supposed to consume.

The reality is that I easily drink two pints of beer or ⅔ of a bottle of wine each day. 14 pints of beer contains 382ml of alcohol. 3.5 litres of wine contains 455ml of alcohol.

Does that make me an alcoholic, you must be wondering.

My psychiatrist accused me of being an alcoholic, to which I replied "pish and fibble; what flabbergasting nonsense". We can do some easy calculations, to work out if I am an alcoholic or not.

Let's take the worst-case scenario where I consume 100ml of alcohol per day. Ethanol is metabolised at a constant rate in the human body. That is to say, the quantity of blood in your alcohol-stream does not follow some kind of exponential decay calculation. Assuming I drink for 4 hours each evening, by around 6am in the morning, I'm completely sober. This means that I'm stone cold sober for 13 hours out of 24, which is 54% of the time. This simple mathematics shows that I'm not an alcoholic, quod erat demonstrandum.

My psychiatrist is clearly not capable of recalling her basic medical training, which would have taught her that alcohol is metabolised by the liver in a completely different way to more complex molecules. Very specific proteins and enzymes are required to chemically decompose inorganic (i.e. invented in a laboratory) medications. We can do a simple test, to again prove whether I'm an alcoholic or not.

Again, taking the worst-case scenario where I consume 100ml of alcohol per day, if I was to abruptly stop drinking alcoholic beverages, we should expect me to exhibit alcohol withdrawal syndrome within a few days of sobriety. Assuming that I suddenly ceased all alcohol consumption, I should - at the very bare minimum - get shaky hands and other physical symptoms that would prove that my body has become physically dependent on alcohol. The fact of the matter is that I can stop drinking for 2 or 3 days, and suffer no ill effects beyond a psychological craving for intoxicating liquor. This simple test, again shows that I'm not alcoholic, QED.

Despite the failings of my highly qualified physician - my psychiatrist - who has specialised in the alteration of brain function through the blunt instruments of psychoactive medications, she unarguably stumbled upon a truth in amidst her lazy and untrue accusations of alcoholism: I do drink too much.

Another definition of an alcoholic or an addict, is somebody whose life is adversely affected by drink or drugs, but who does not respond to the negative consequences in a rational manner. If you put your hand in a fire it hurts, right? So, why would you put your hand in the fire again? The perverse behavioural pattern of continuing to act in a way that is undeniably harmful, has also come to be recognised as another definition of alcoholism and addiction.

One only needs to consider the question "why do people smoke?" to see that there is grey between the lines. Smoking is expensive, makes you smell, stains your teeth and makes your mouth taste unpleasant to any non-smoker whom you kiss [with tongues and stuff] - these are the immediate consequences of smoking tobacco. In the medium term, smoking will give you a revolting phlegmy cough as well as literally burning enough cash to purchase a reasonable quality second-hand motor vehicle, or enjoy several foreign holidays. In the long-term, emphysema and lung cancer will bury smokers in an early grave.

It's oft-quoted that "the liver is the only organ in the human body that can repair itself" but this is patently untrue. Chronic cirrhosis - scarring of the liver - will not heal itself. Conversely, many drug addicts who have overdosed and been declared "brain dead" have gone on to make full recoveries, despite a consensus of medical opinion that life support should be withdrawn. The BBC commissioned Louis Theroux to make a series of documentaries about life in Los Angeles, and the episode entitled "Edge of Life" recorded the 'miraculous' recovery of a man whose brain was deprived of oxygen for at least 12 minutes, which is well beyond the limits of what we believe any human to be able to withstand.

Many of those who have been unfortunate enough to be a victim of a stroke, will go on to recover the ability to speak, walk and recover other functions that were lost as a result of brain injury - this is underpinned by the inherently plastic nature of the brain. Plasticity does not mean 'made of plastic' - it means adaptable to change, including the ability to recover from trauma.

An alcoholic may easily consume a litre of vodka per day - perhaps some 400ml of alcohol - which would equate to 2,800ml of alcohol per week. Given that the recommended weekly intake for a man or woman is just 140ml, alcoholics - of whom there are very many - consume at least 20 times as much alcohol as they should do, according to the UK's top doc.

It seems unsurprising that somebody who drinks to an incredible level of excess - where they are intoxicated from the moment they wake up to the moment they lay their head to rest - should sustain an injury to their liver, rendering the organ irreparably damaged.

This essay does not seek to argue that I would not benefit - in terms of my physical and mental health - by abstaining from alcohol consumption. However, one must be mindful that drinking is endemic in UK culture and to be a non-drinker would impose significant societal pressures and judgements upon me. I have, in the past, been falsely accused of being a "recovering alcoholic" merely for the reason that I chose to be teetotal for a period of over a hundred consecutive days. I decided to be alcohol abstinent for a competitive challenge - one of my best friends had completed a period of 100 days of sobriety. In the end, I beat his sober-streak by 20 days.

If you're concerned about your alcohol consumption, drug habit or the quantity of psychoactive medications that you guzzle into the cavernous hole in your face every day, then you should simply ask yourself this one question:

Are you shovelling more and more mind-altering substances into your body each day, or have you found a steady quantity that satiates your want and need for intoxication?

While you fret about eating a 'balanced' diet and being 'healthy' you forget that for 4,000,000,000 years, organisms - just like us - have had to cope with a world that's too hot, too cold, too acidic, too alkaline, too oxygen rich, too carbon-dioxide rich, too sulphurous, too contaminated with arsenic & other toxins, and generally fucking hostile to anything that we define as 'alive'. Humans inherit all of the many abilities to deal with everything from the icy wastes of the frozen poles to the dry & scorching sandy deserts.

The ubiquity of alcohol represents the antidote to the curse of becoming self-aware; the torment of perceiving our own mortality; the torture of realising that life is fucking bullshit, and we all die alone. If we don't go crazy we'll lose our minds.

I do not seek to dissuade alcoholics from seeking treatment, nor do I encourage anybody to recklessly endanger their health. I would hope that any reader who has been able to follow the thread of my thesis to this point, would be able to see that I'm mounting a robust attack on those who seek to perpetrate alarmist & sensationalistic nonsense, onto a populace who have been harmlessly intoxicating themselves since well before any form of any recorded history.

If you are teetotal, I applaud you and I advise you to maintain your alcohol-free existence, but you probably possesses some characteristics that predispose you towards abstinence, not shared by your brethren who imbibe intoxicating liquor. Please; do not smugly think of yourself as morally superior.

By happy accident, I never addicted myself to nicotine, so I look upon smokers with a detached sense of amazement that tiny quantities of a plant alkaloid - in the order of a grain of salt - can induce antisocial behaviours in those who are in the vice-like grip of nicotine: a chemical compound whose psychoactive properties are formidable. I apply a cool objective reasoning that I am able to enjoy, to other addictions that I do and do not partake in.

It's Friday, and in the time that it has taken me to compose this essay, I have consumed 35% of my weekly alcohol allowance.

Cheers!

Tags: #alcohol

This is a story about succession planning...

The British have always liked hot drinks.

Coffee shops were terribly trendy in the late 1600s, having been launched in Oxford before springing up across London, where ships that brought the crop of beans to English shores found many willing patrons for the roasted, ground and brewed end product.

Tea symbolises imperial Great Britain. The Indian town of Darjeeling - formerly part of the British Empire - is synonymous with the tender leaves that citizens of the United Kingdom douse with boiling water, infusing bitter plant alkaloids into the hot liquid. "Put the kettle on" are four words that will be said in millions of homes this evening, despite the stimulating effects of caffeine.

Cocoa beans have given rise to hot chocolate, also known as drinking chocolate. Even a small UK food & drink shop will offer all manner of flavourings for hot water. Nestled in amongst the other things that my fellow Brits would categorise as 'hot drinks' I found something that I think of as a powerfully concentrated and flavoured spread, ideally enjoyed on toasted slices of bread - a jar of Bovril beef extract.

The flavour of Bovril is closer to Marmite and Vegemite - or any other brand of yeast extract - than it is to beef, in my opinion. How exactly they "extract" Bovril from a cow is something that I don't really want to think about. I suppose it's a macroscopic version of what they do with microscopic yeast - microorganisms are just the same as cattle really... eating, shitting, reproducing and not doing much else.

In this Bovril-drinking Northern city, conspicuous by their absence are people with skin tones darker than my own and women wearing headscarves. I formerly lived in a region where the population is 46% Muslim. Surprisingly, the Bengali shopkeepers have no issue with selling pork and alcohol to those who are not forbidden - for religious reasons - from eating swine flesh and imbibing the intoxicating liquor created from fermented fruits and grains.

In this unfamiliar part of Northern England, there are innumerable drinking establishments in my local vicinity, as well a vast number of hot food outlets where a bacon or sausage "bap" can be procured as a traditional breakfast snack.

India - before she was partitioned in 1947 - was a nation where Muslims would respect the holiness of cows in the Hindu culture, and reciprocally the Hindus would respect the Muslim rejection of pigs as unclean animals, and alcohol as an addictive intoxicant that places a heavy burden on any society that permits its consumption.

Modern global society still holds strong religious views on the treatment of domesticated animals and the brewing and consumption of alcohol. When we examine the historical evidence using the scientific method, we can see that cows and pigs would not exist today as we know them, without human intervention spanning many more thousands of years than even the oldest religion. Furthermore, we can see that humanity has been intent on its own intoxication throughout the history of civilisation. The Mayans were chewing coca leaves at least 3,400 years before Islam had its golden age, and vastly predates Hinduism and Judaism. Ergo, we must conclude that excluding beef, pork, alcohol and other things from our diet and habits of consumption is a relatively recent 'fad'.

The Chinese are the biggest per capita consumers of pork, while America and the developed nations hoover up vast quantities of refined coca leaves in the form of white powder cocaine and rocks of freebase cocaine, known as crack. Opium, morphine and diamorphine (heroin) are endemic worldwide. Caffeinated beverages - hot or cold - are guzzled by the globe. Alcohol is cheaper than bottled mineral water from desirable brands like Evian or Perrier. Yet, only in the North of England - so far as I know - do people consume a hot drink made from Bovril.

I hate being spread thin. I'm adaptable and I can be sent all over the globe to work with people who observe different cultural traditions. I am relatively worldly-wise enough to not commit a faux-pas, such as eating food before sundown in front of those observing the Ramadan period of fasting. I can pretty much figure out whatever you want me to do, if you're paying me enough and you're not open to persuasion that your ideas are probably terrible in their original unmodified form.

Why have a dog and bark yourself?

Now I find myself juggling the essential task of finding a doctor who will keep me supplied with the medications that I have become physically dependent on, while also settling in a new home in an unfamiliar city. I must also meet the demands placed upon me in the pursuit of enough money to eat, service my debts and give myself more security and freedom of choice.

I'm withdrawing from Xanax (alprazolam), Valium (diazepam), Ambien (zolpidem), zopiclone and Lyrica (pregablin). All of these drugs work in a very similar way - mimicking the brain's own 'brakes' and calming neural activity. These medications cause a chemical called GABA to be released in the brain, block the brain from recycling any unused GABA, or imitate the 'signature' of GABA itself. The overall effect is tranquillising, stress relieving and aids sleep, but the withdrawal is quite the opposite. In fact, the abrupt withdrawal from any or all of the medications listed can cause life-threatening seizures.

I must juggle social drinking - alcohol is a mandatory social lubricant in most UK culture - with the need to use alcohol as a form of self-medication for the stress I'm under. I also use alcohol as a substitute for the powerful psychotropic medications that my body has become dependent on, like heroin addicts kick their habit using methadone. Alcoholics can break free from physical dependence using benzodiazepines such as Librium (chlordiazepoxide). I'm doing it the other way round, because I know I can stop drinking - I plan on doing so in October, when I will use the excuse that I'm going teetotal to raise money for charity (a.k.a. Stoptober) - as I have done successfully before.

How I ended up with so much on my plate is not really my intended subject of this lengthy diatribe, but in my dark and difficult moments, I am facing a clusterfuck of competing demands on my time and energy, while also dealing with panic attacks and a general feeling of uneasiness and discontent; a false perception of threat, danger and imminent disaster.

My perceptions are not completely warped. Earlier this year, both my kidneys completely failed. Very recently I narrowly escaped homelessness, bankruptcy, destitution and destruction. Unpleasant feelings are a harbinger of a genuine medical emergency - I am detoxing myself without the supervision of a doctor or nurse, while also working full time.

I've skippered yachts and kept my crew safe in stormy weather; I've led groups safely up and down dangerous mountains covered with snow and ice; I've become blasé about near-death experiences, because I've now had so many. I don't think I'm exaggerating or being hyperbolic when I say that I'm facing my life's toughest challenge so far.

The demands placed upon me in my day job seem unreasonable at the moment, but I was desperate for fast cash. I was drowning and I was thrown a lifeline - beggars can't be choosers.

Friends who have submitted themselves to the mercy of the state seem to have suffered greatly from the trials and tribulations of dealing with compassion fatigued bureaucrats. A great many nurses and doctors have told me that I'm 'entitled' to live at the expense of the government - i.e. my fellow citizens - because of the taxes I have paid in my life, and because my mental illness disqualifies me from being 'fit for work'. To put work as my priority, ahead of treatment is something that none of my doctors want, but equally there's a long queue of people who would prefer to sit at home smoking cannabis and playing on their Playstations, rather than flipping burgers or scrubbing toilets for the minimum wage.

Like concentrated beef extract, I'm intense; I'm focussed; I can achieve a lot very quickly. The terrifying truth is that the world applauds anybody who exhibits bipolar behaviours... what happened to all those 'overnight successes' and 'one-hit wonders'? They spent all their money on fast cars, beautiful women, drugs & alcohol, and the rest they just wasted, is the oft-repeated quote.

Once you've figured out a winning formula, all you can do is teach others to follow in your footsteps. If you can train an army of mini-mes to do the grunt work - the heavy lifting - then life becomes more sustainable. Only a fool repeats the same behaviour, expecting different results.

And so, I desperately need to find my successor - somebody to fill my shoes and shoulder some of the burden, allowing me to recover and stabilise, rather than being trapped in a cycle of just repeating things that I've done before a thousand times.

It's hard to find somebody who's willing to do a shitty job, and it's hard to find somebody who's able to navigate their way through the piles of shit and find the better way of doing things. I might be that diamond in the rough, but that doesn't mean it's a great idea to get me scrubbing toilets or flipping burgers, even though I will do if you ask me, pay me and I'm desperate enough.

Having a desperation-driven economy, with most of us spread thinly - stressed out and always on the brink of breakdown and ruin - is a terrible, terrible thing to do to people.

Hunger will drive ingenuity and industriousness, but it's not a sustainable strategy, no matter how much Bovril you have to eat and/or drink.

Tags: #career #addiction #drugs #mentalhealth #bipolar