This is a story about political correctness gone mad...

The liberal metropolitan elites are on the right side of history, right? The neanderthal knuckle-draggers are simply poorly educated angry white men, who need to step aside and make way for the black one-legged Muslim lesbian immigrants to take all the jobs and go on the dole, right? I probably can't even say black. It's political correctness gone mad.

Right, I've probably successfully got your heckles up. Now, get your calculator out.

The average wage in the UK is roughly £26,000. The average house price is £260,000. Assuming you can borrow three and a half times your income, you can get a mortgage of £91,000. So, you'll need a deposit of £169,000.

For the current tax year, average take home pay is £1,737. Average rent in the UK is £900 a month, leaving £837 a month for council tax, gas, electric, water, sewerage, food & drink, toiletries, cleaning products, transport, clothing, mobile phone, Internet, home & life insurance, home maintenance, alcohol & tobacco, gambling & lottery, going out and saving money.

Let's assume that our average UK citizen is a super scrimpy person who lives on budget baked beans and never turns on the heating or any lights. They can probably save a maximum of £500 per month, which leaves them £337 a month to spend on everything else. To save up the £170k they need to buy a house, they'll need to be thrifty for the next 28 years... assuming house prices don't go up.

Of course, this also assumes that you can even get a job that pays about £12.50 an hour, when 80% of all new jobs being created pay less than £17,000 per annum. Most jobs pay less than the average, because the average wage is skewed by a small number of very high earners.

OK, but we can all just go on benefits, right?

Well, housing benefit doesn't pay enough to rent a place. Rents are higher than housing benefit. If you work more than 16 hours a week, your benefits will be cut off, so you can't use housing benefit to top up your income. If you're a 'snowflake' millennial, you'll have just £57.90 to live on each week, plus your housing benefit that isn't enough to pay the rent.

So, what's the solution?

Well, if you're an immigrant you might be prepared to live in an appallingly shit house, with several people in every room. Many of us grew up in houses with sitting rooms and dining rooms. If you have a look round a house full of economic migrants who are all working for minimum wage, you're not going to find any reception rooms: every room is a bedroom.

Who cleans the toilets? Who waits the tables? Who serves the coffee? Who picks up the litter? Who hoovers your office? Who washes your car? Who built your house? Who unblocked your drain?

When we want something, we demand rock-bottom prices. We believe all the bullshit about 'rogue traders' and 'rip-off Britain' when in actual fact we are mostly idle and spoiled. We wanted cheap goods, so the factories moved to the Far East. We wanted easy jobs, so the immigrants came to do all the shitty ones. We wanted big fat undeserved early pensions, so asset prices bubbled. The petit bourgeois rentier class is a parasite on young people who need somewhere to live.

"Build some more houses!"

Yes, but who's going to build them? You wanted people who work hard for peanuts, so you got Poles. It's a fairly established middle-class thing to do: to demand Eastern European builders, because your British counterparts are supposedly lazy and work-shy, but aren't you part of the problem if you're not rolling up your sleeves and getting on with the job yourself?

The UK population was 50 million in the 1950s. Now it's 65 million. If there were 30 children in a school classroom in the fifties, there would be 39 today. If there were 1 million cars in the fifties, there are 1.3 million now. Hang on! That can't be right, can it?

Yes, ostensibly our observations don't match the hard numbers. Our day-to-day experiences don't tally with the facts, data and opinion polls.

Of course, I picked a difficult example: car ownership has soared, along with our living standards.

Our living standards have soared, haven't they?

Well, why do so many people want to go back to some kind of golden era of yesteryear? Perhaps 1954 would be the perfect year for us to roll the clock back to: when rationing ended.

"Britain's full" we hear. Certainly, many of us perceive overcrowding, congestion, heavy traffic, problems making a doctor's appointment, problems getting our kids into the school we want our little darlings to go to. What the hell? And there's always some darkies in the queue too... it must be all those mozzies, right?

The liberal metropolitan elites [like me] will tell you that you're imagining things. You're just not colourblind enough. If you squint your eyes - like a Chinaman - you'll see that your crowded train carriage actually has plenty of seats, and the few passengers are white men wearing hats, reading broadsheet newspapers and puffing pipes.

There's clearly a mismatch between perception, reality and what the 'facts' tell us. How can Britain have filled up when the population has only increased by 30%?

Let's look at the example of the economic migrant.

I don't live in The City of London. I live out near Canary Wharf and commute into the Square Mile for work. I migrate each day, for economic reasons. The official population of the City is 12,000 people, but in fact the population on a miserable Monday morning is more like 400,000. That's a 33 fold increase. That's a helluva migration every day.

In the desperate struggle of the rat race, both parents are now working, when previously the husband's sole income was adequate for the household's meagre expenses. I'm sorry to be so heteronormative, but women were housewives and men were the breadwinners. With sexual equality comes a doubling of the workforce, taking up space on the trains and roads, struggling to get to work each morning.

If both parents are working, who's going to clean the house? We're going to need a Lithuanian cleaner. Who's going to look after the kids? We're going to need a Spanish au pair. Who's going to prepare lunch? We're going to need an Italian sandwich maker.

We cluster together where all the jobs are: London and the South-East. We all commute huge distances on horribly overcrowded transport networks, because it's cheaper for our employers to build massive office blocks. The more office blocks you get in one place, the bigger the pool of potential employees, creating a liquid market for commoditised humans.

Most of the UK is an also-ran. Who gives a fuck about job losses across the whole country, when London earns so much tax for the treasury and financial services dominates 80% of the 'economy'.

Of course, it's disingenuous to think that the coal mines are going to re-open, the demand for steel can remain constantly high forever, and there will always be a need for unskilled manual labour. However, didn't we forget that a lot of people have been thrown onto the scrap heap, because we only worship facts and figures, not lives?

Is it possible that the knuckle-draggers  -- who hanker for a yesteryear of homophobia, sexism, bigotry and an empire riding roughshod over the developing world -- also have a small handful amongst their number who are right? Their quality of life would have been a lot better when they could have afforded to buy a house, get married, have kids and earn a living without having to resort to government handouts, black market jobs, benefit fraud, drug dealing and other degrading things.

I feel like I need to be the liberal metropolitan elitist who empathises with the plight of the scrounger, the NEET, the JAM family, the council-estate dwelling na'er do well. It's terribly patronising, but what have the unwashed masses noticed that we haven't?

I'm not even allowed to raise the questions without tarring myself with the brush we lazily swish over the enemies of progress: bigot, xenophobe, homophobe, FASCIST!

I hate UKIP, Nigel Farage, Donald Trump and their ilk, but they're shrewd in their observation that people have detected a certain lack of greatness in their once-great nations. Perhaps they weren't great places to be an educated black gay woman, in those yesteryear eras, but isn't politics about the greater good, to some extent? We don't have to lynch the blacks for the benefit of the whites. Trump et. al. have emboldened the racists, and that's awful, but why are they so angry?

Until the liberal metropolitan elites can accept that "[poor ill-educated] white male" has become a pejorative term amongst a sneering set of arrogant, privileged people who rule over them, doesn't it seem obvious that the anger is going to boil over?

Football, X-Factor, Big Brother and all of the other distractions and titillations are inadequate to contain the dissatisfied masses: they don't have any prospects; they don't have anything to hope for, except for a life of miserable poverty; they're unwanted in 'their own' country.

That's what "take are (sic) country back" means... it means that through the Internet, the masses have figured out that they outnumber the rulers and their court, and they want their fair slice of the pie. They've been misdirected into blaming immigrants, because that's always the last desperate ploy played by the greedy people who control the country. The simple fools don't even realise that the rich get even richer during times of war and conflict. Who's going to fight this imaginary fight that we're being whipped into national hysteria over? It will be the poorest, least educated and least privileged who will lose out, yet again.

Sadly, unless income inequality and declining living standards are addressed, there's little to offer the angry people except a cathartic bloodletting. Obviously, it offends my liberal sensibilities to see anger misdirected at the hardworking immigrants who cook me delicious halal food and act as a kind of lightning rod, stopping me from getting beaten up as a yuppie... a gentrifier.

What happened to class warfare? What happened to the labour movement? What happened to revolution?

TV melted your brain, dude.

Tags: #politics

This is a story about insecurity...

The self preservation instinct varies by individual. In theory, we should all be equally risk-averse, because all genetically heritable traits must surely code for self-preservation, by definition. Any genes that would make an individual less likely to want to live, would literally die out. However, we know that people willingly jump out of perfectly good aeroplanes, while others are afraid to leave the house.

When life becomes one long unrewarding fruitless struggle - endless anxiety - then it seems logical that you'd give up hope of things ever getting better. "This will pass" people say. It doesn't. They're wrong.

I've done most of the stressful things in life: moved house, made new friends, asked a girl out on a date, got a job, paid bills, started businesses, balanced the books, paid my taxes, fixed a broken down car, fixed a water leak, fixed a gas leak, been punched in the face, got divorced, been arrested, been locked in a cell, been hospitalised, ran out of money, been homeless.

So, I've been through a lot of shit and survived. I've dealt with a heap of very stressful situations and I managed to get through them without having a nervous breakdown. However, I'm not exactly thrilled about having to start over.

I had become careless with my life, because I'd been suicidally depressed for so long that existence offered nothing but unrelenting pain.

My life attitude has generally been this: start today with whatever I've got, and make the best of it.

It's heartbreaking when you try your best for years and years, but you're thwarted at every turn. Imagine you've patiently observed, practiced and developed your skills. You're doing all the right things, but it's not working because somebody is working against you. I try to win people over. I try to get people onside. I try to convert the bad apples into good apples, rather than chuck them in the bin.

I'm named after a heroin addict: Mr Grant. I don't know his first name. If I took my mum's name, I'd be Nick Newton. If I took my dad's name, I'd be Nick Edmonds.

I had a blazing row with my mum when I was a child, over whether it was ever ethical to write somebody off as a lost cause. Unsurprisingly, my unshakeable belief - for as long as I can remember - has been that nobody is born bad, and nobody should be abandoned. Even the idea of casual dating is unpalatable to me: pick a partner and stick with them; be loyal.

My core beliefs have been tested to breaking point. I've lain myself wide open to be taken advantage of, and people have come and filled their pockets at my expense.

"Where are your friends when you need them?" my flatmate asked me a few times. "They're not there when you need them" he said.

In fact, I never phoned my friends for help. Ironically, the one time I phoned my friends for a favour, was to get rid of my flatmate - who owes me thousands of pounds in unpaid rent and bills - when he refused to leave.

Of course, my friends have been there when I've needed them, but I have a strong instinct to take my problems away from the people who I care about. I don't suck people into the turmoil of my decaying life. If I'm in trouble, I don't want that trouble to spill over onto my friends. If I'm going to kill myself, I'm going to throw up barriers - defences - to stop people getting too close to ground zero.

I haven't been ready to have anybody in my life, because I started to believe the bullshit: I started to think that I was a good-for-nothing write-off lost cause.

Now, a couple of people have stuck by me and been physically present through some of the horrors, and we've come out the other side. With every bit of loyalty, love and care that I've received, it's helped me to heal and repair a little more. It's hard to be objective, but it feels like things are getting better for once.

Everybody needs at least one person who believes in them. One person who'll be there when you really need somebody. One person who's trying to help, not thwart.

I find myself writing with consideration for their feelings and how they might perceive things. I'm starting to think about a positive future, rather than just brain-dumping before I die.

This blog was supposed to be a time-capsule; a smoking gun; a suicide note. This blog was supposed to contain all the things that hold some horrible people to account. It's so much easier if the target of your malice goes down without a fight and quietly dies.

She said to me "awwww, you wrote me a love letter" and it's true. In amongst the bitchy sniping at a bunch of arseholes who've screwed me over, there's a new theme developing: I care about hurting somebody's feelings and damaging a burgeoning relationship. There's something precious to me that I want to protect.

It's fairly hard to think "I hope we don't break up" and "I want to die" at the same time. Obviously, it'd be a logical fallacy to hold both thoughts simultaneously. Reason is a very poor way to tackle emotion, but it seems to be quite hard to be suicidal when you're cuddling on the couch... although not impossible.

When you care about somebody, you can feel insecure: "what if I lose her?"

It's progress, of a kind. I wouldn't say that dating is ever a reason to live, but having a significant other who you're crazy about is an improvement on a situation where your own emotional pain fills your world, to the point where you have no capacity to think or care about the people who would be sad if you were dead.

"Suicide is so selfish."

No, you simply haven't understood. It's you who is selfish, if you expect somebody to endure intolerable agony for your benefit. Believe me: people don't want to die because they're selfish; they want to die because they can't stand the pain and suffering anymore.

Guilt-tripping never works, but kindness, care, compassion and loyalty seem to be a winning combo.

Tags: #suicide #depression #relationships #divorce

This is a story about social lubricants...

This time last year, I was attempting 101 consecutive days of sobriety. I actually managed nearly 120 days without alcohol in the end. I'm pretty sure that the lack of 'crutch' meant that I wasn't able to self-medicate with booze when I needed it, which caused hypomania to flair up during a period of incredible stress.

I've been juggling the fine balance between stimulants and tranquillisers, in order to cope with a boring career that has lasted two decades. Tea, coffee, cola, wine and beer: it's a winning formula.

"An alcoholic is someone you don't like, who drinks as much as you do" -- Dylan Thomas

There are all kinds of middle-class rules that differentiate the right sort of people from those dreadful sorts who swig Special Brew in the park. No drinking before midday. Don't mix your drinks. Craft beers. Fine wines. Single malt whiskies. It's the snobbery of it that means that the wealthy can drink copious amounts and get away with it.

Of course, there are people who are alcohol dependent. If you consume huge amounts of alcohol every day, you'll suffer life-threatening withdrawal if you abruptly stop drinking. You might have a seizure and die.

I'm sure my liver was very grateful for that period of sobriety last year. I've gained a load of weight through drinking, which isn't healthy. My weight has fluctuated wildly this year. I was really thin and bony back in March. I drank loads to get through a dreadfully boring contract and I've been drinking heavily again to cope with the stress of evicting a flatmate, having to look for work again, worrying about cashflow, the pressure of Christmas and everything else that everybody in the entire world worries about too. I'm not unique and what about the starving Africans etc. etc.?

The big change in my consumption habits is that I no longer drink alone.

It's quite possible that I've entered into a kind of co-dependency, but equally there are safeguards when you drink with others: you know when you're drinking faster than everybody else and you know when you're drinking more than other people. It's remarkable how the social shame of guzzling booze when everybody else is sipping, means that you can moderate your behaviour somewhat.

"Do you want a drink?" my kind host asks.

"What's everybody else doing?" I reply. "I'll wait... don't open a bottle on my account."

It's clear from the size of the alcohol aisle in the supermarket and the clink of bottles being loaded into the back of cars, that a British Christmas is a boozy Christmas, for most households. Family traditions are varied, but everybody likes to pop a cork or two over the festive season. I can't imagine a sober Christmas, even though I had one last year.

The hardest thing about quitting booze was not the craving for alcohol - that subsided after only a few days - but how ubiquitous it is. My AirBnB host in San Francisco was visibly put out that I declined the offer of a drink at Halloween. On several occasions, there was relentless pressure on me to 'cheat'. I refused to even sip wine for the taste. If I was going to undertake the challenge, I was going to do it properly!

Go Sober for October was the charitable event that gave me a legitimate excuse to get through the first 30 days of sobriety. Without that, I'm sure I would have weakened under peer pressure. I'm sure I would have got into the habit of cheating.

That's why drinking alone is dangerous: once you pop you can't stop. So many times I say to myself "I'm just going to have one glass of wine/beer" only to then find myself finishing the bottle or the 4-pack. It's been a very successful strategy, to be a social drinker. I'm super self-conscious about being drunk or high, when those around me are 'straight' so I just don't do it. There's safety in numbers.

I drink too much and I'm alarmed by my weight gain, but I've made it to Christmas Day without total disaster. Things could be better, but they could be a lot worse.

Think about how much your day is structured around socially acceptable drugs: you want your morning coffee and then you're craving something to 'take the edge off' in the evening. Round and round we go, with our uppers and downers.

I'm embracing alcohol, because the desire to become intoxicated is inextricably bound up with the human condition. Coping with modern life is impossible without some kind of 'help'. Stress will drive you crazy: I can vouch for that.

There's an arms race - of course - where our employers expect us to be able to cope with unrealistic levels of stress and exhaustion, because they've gotten used to everybody being hopped up on coffee during the day, and drunk enough to sleep at night. However, that's not to say that alcohol and caffeine are bad, when used sparingly to cope with life's unpredictable peaks and troughs.

Anyway, I need to get on with Christmas Day. It won't be long before the Buck's Fizz starts flowing. The day will pass much more pleasantly with a warm alcohol glow and a fuzzy brain.

Habit of a lifetime.

Tags: #alcohol #christmas

This is a story about social media suicide...

Too long; didn't read? Those 140-character status updates exhaustively summarise my entire state of mind at any given moment in time. Join them up and you capture an entire person. Is their heart beating? No need to worry... they're still tweeting.

OK, good, we got the summary text bit out of the way.

For those of you still following along at home, I have some news: my little social media & blogging holiday seems to have put me back in contact with a few friends. I'm about to have a record-setting month of meeting up with people and going out for social engagements in real life.

Social media - by which I mean everything including group text messages - is enormously valuable in my life so I'm never actually going to quit Facebook. Anyway, this serves as a talking point tomorrow when people ask "didn't you say you were going to quit Facebook?"

As we know, clickbait is a real problem, so people tend to just read the title of anything on Facebook and assume they know the rest. When you assume, you make an "ass" out of "u" and "me".

"So close but yet so far"

We're all hyperconnected. I wake up and start having a conversation with a friend in New Zealand, who's about to go to bed. After lunch I start chatting to a friend in San Francisco, who's just woken up. Round and round and round we go; follow the sun. The sun never sets in the world of technology. Is this a good thing? It's certainly a bit weird, having a load of people who I'm in regular contact with, but I also spend the vast majority of my time physically alone in just two rooms: my bedroom and my lounge.

Somehow, by reducing the amount of energy I put into social media outpourings, it's created a bit of space for other people to come into my life. Either that or it's coming up to Christmas and people are simply feeling a bit more social.

Anyway, what about social media suicide?

I've been blogging extremely candidly for 15+ months. I've given a fairly unflinching account of all kinds of personal matters and it wouldn't make for great reading for any prospective employers or ageing family members of a sensitive disposition. Basically, it's the kind of stuff that people just don't talk about. Do I regret it? Not really. Brain dumping has been quite successful, I think, in terms of getting rid of a load of baggage.

What next? I'm really struggling to re-adjust having achieved my three major milestones:

• Blog every day for over a year
• Write a novel
• Write half a million words

As you can tell, my thoughts are scattered; disjointed. I'm struggling to get back into blogging, having spent a whole month writing fiction every day. Context switching is hard. Blogging got me through an incredibly boring contract, as well as providing structure and routine throughout a very unstable period of my life. Perhaps it's good to pick up the blogging again, but I'm squeezing it into a life which is hopefully going to be more balanced, rather than having it as such a major component.

It's all so terribly meta but that's part of finding my voice again, I think. Hopefully it will be a different voice: less bitter and stuck in the past. However, I've written that before and then found that there were things I was still really pissed off about that bubbled up and needed to be written about.

Finally, I'm super pleased that all my creative output is not trapped within the walled garden of Facebook or Twitter. Google is bringing me some delightful characters who have found my website. Apparently the search term "cat drug make me horny" will bring you here, so at least there's that.

Tags: #socialmedia #writing

Contents

Chapter 1: The Caravan

Chapter 2: Invisible Illness

Chapter 3: The Forest

Chapter 4: Prosaic

Chapter 5: The Van

Chapter 6: Into the Unknown

Chapter 7: The Journey

Chapter 8: Infamy

Chapter 9: The Villages

Chapter 10: Waiting Room

Chapter 11: The Shadow People

Chapter 12: Enough Rope

Chapter 13: The Post Offices

Chapter 14: Unsuitable Friends

Chapter 15: The Chase

Chapter 16: Self Inflicted

Chapter 17: The Holiday

Chapter 18: Psychosis, Madness, Insanity and Lunacy

Chapter 19: The Hospitals

Chapter 20: Segmentation

Chapter 21: The Cell

Chapter 22: Wells of Silence

Chapter 23: The Box

Chapter 24: Jailbird

Chapter 25: The Scales

Chapter 26: Descent

Chapter 27: The Syringe

Chapter 28: Anonymity

Chapter 29: The Imposter

Chapter 30: Wish You Were Here

4. Prosaic

Senility seemed to reveal hidden racism inside some of the sweetest old men. Every Friday evening at the hospital, the last weekday shift would hand over to the first weekend shift. Weekend shifts were mostly covered by agency staff. Many of the agency nurses were of African descent, which was a fact that failed to escape the notice of otherwise unobservant geriatric patients.

"I am a nurse. I am a fully qualified, registered nurse" one of the agency nurses stated calmly to an irate patient. This was not an uncommon situation she had to deal with.

"How can you be a nurse? You're not even English" said a man, his voice raised.

Lara could hear the conversation between nurse and patient from down the corridor. She had her coat on and was carrying her handbag. She was now making her way out of the building to the car park. Her working week was over. She had a tough decision to make: did she continue taking the most direct route to the lifts, or did she turn around and take the back staircase down to the basement, and walk round the hospital to the staff car park? She decided to press on. Her uniform was mostly covered by a long coat.

"Nurse! Nurse!" shouted the old man, as Lara scurried past an open door, keeping her eyes fixed straight ahead. Glass windows either side of the door allowed anybody walking along the corridor to be easily be seen from the ward.

Lara knew that the old man was trying to get her attention, but she also knew that nothing could be achieved by involving herself in the altercation. The old man would never accept that not all nurses looked like Florence Nightingale and Britain had become a multicultural society during his long lifetime. Tragically, it was part of the job description, that agency nurses would have to deal with this kind of mistreatment over the weekend, when the familiar weekday staff were mostly not working.

Stepping out of view into the lift lobby, Lara felt a twinge of guilt for not taking the stairs, but this was outweighed by the sense of relief that the weekend was beginning and she could start to relax. A pair of metal doors slid open and Lara squeezed into the lift. Leaving the building at this time was always busy. Every lift going down would be packed full of people.

The hospital was a modern monolithic white cube, 5 storeys high. It was the largest hospital in the county. Built on the outskirts of town, the hospital was surrounded by a sprawling car park, divided into short stay, long stay, and far away from the main building, a car park for the general staff members. Near the staff car park was a second building in the same architectural style as the hospital, but much smaller. This was the accommodation block where many of the younger nurses lived.

As Lara reached her car, a group of young women spotted her and started calling her name and waving for her to join them. One of the group sprinted over to where Lara stood, frozen, car keys in hand.

"Will you join us for a drink?" asked Lara's friend, Anne.

"I'm sorry, Anne, I've really got to be getting home. Neil's not well" Lara replied.

"Still?" Anne asked, slightly shocked.

"Yeah. Don't know what's wrong with him. I hope he's been to see the doctor today"

"Oh dear. Well, maybe you'll come out another time?" Anne asked brightly, clearly not wanting to stress Lara out any more and slowly backing away to rejoin the group.

"Sure" said Lara, relieved that Anne could see she was keen to get going.

Anne skipped back to her other friends. Lara knew most of them. They were all a little younger than Lara and they had bonded through living together in the staff accommodation block. They had been very welcoming and friendly and Lara was grateful for the opportunity to socialise outside the group of familiar couples that she and Neil spent the majority of their time with.

Jumping in her car as quickly as she could to avoid any further attempts to pressurise her to go out for a quick drink, Lara gave an apologetic wave as she drove past the group on her way out of the car park. Young and carefree, full of energy, all her workmates waved back enthusiastically. Lara's heart sank a little, because she knew how much fun and refreshing it was to spend time with them.

Pleased to find a parking space quite near her house, Lara was also pleasantly surprised to see that there were lights on downstairs. This was the first time this week that she'd returned home to any signs of life.

Opening the front door and stepping into the hallway, Lara hung her coat on the coat rack and dumped her handbag on the floor. The door to the snug was open and Neil was sat on the large sofa, studying a large piece of paper covered with tiny print. The paper had many creases in it from having been folded up very small. On the coffee table sat a small white cardboard box with a printed prescription label on it. There was also a small white paper bag, emblazoned with the logo of their local chemist, open on the coffee table too.

Neil seemed engrossed in reading the tiny print on the piece of paper. It had also become their custom that week for Lara to have to initiate any conversation.

"So, I take it you went to the doctor?" she asked.

"What? Er, yeah. I got this" Neil distractedly replied, as if the rest of the story was implicitly clear.

Lara stifled a sigh and went upstairs to get changed out of her work clothes. Clearly she was going to have to drag the rest of the details out of him. Frustration replaced a sense of relief that Neil was up and about and had finally sought a doctor's opinion.

Unhurriedly making her way back downstairs, Lara sat down next to Neil on the sofa. She was close, deliberately invading his personal space in the hope of waking him from his trancelike state, studying the leaflet that must have accompanied the medication that he had been prescribed. Neil paused and looked her in the eye for a fraction of a second, but then feigned continuing to read his leaflet.

"So, what happened, at the doctor?" Lara patiently asked.

Neil went to answer but then held his words back. He opened his mouth as if to speak but then froze and it became clear he didn't know how to begin. After a moment, his face flushed and he started to blurt out words.

"They called my name. I sat down. Asked how she could help. Burst into tears. Couldn't stop crying" Neil haltingly said. He was emotional, but he didn't seem like he was on the verge of tears. He seemed somewhere between embarrassment and confusion.

After a moment, he seemed to calm himself down and he began again, more relaxed than before.

"The doctor said it was OK and I should take my time. I started to tell her that I couldn't get up in the mornings. I couldn't face going to work. I couldn't face the world. I was tired. So very tired"

He took a breath. He was blurting his words out very quickly.

"She asked how long it had been going on for and I told her a few weeks..."

"A few weeks?" Lara now interjected, even though she was clearly cutting Neil off mid-sentence. Her mouth hung partly open, further betraying her shock.

"I mean the tiredness. Not the getting up" Neil replied.

"Yes, but why didn't you say something before?" said Lara in a tone that was concerned, not angry. She was reacting reflexively, but she knew she had to try to control herself if she wanted to avoid upsetting Neil.

"The doctor. She said I sounded as though I was depressed and anxious" said Neil, ignoring the question. "She asked me if I had heard of flux-o-tin" he said.

"Fluoxetine?" asked Lara, enunciating the syllables - flew-ox-ah-teen - with a little emphasis, but not so much that she would sound patronising.

"Yeah, that one" replied Neil. "She said that many patients found that it helped them when they were feeling anxious about things, like work stress, as well as low mood. She said that my symptoms could be caused by an imbalance in my brain chemistry, and fluoxetine often helped to balance it out" Neil continued.

"Yes, I know fluoxetine. At work I have to help patients take their prescriptions that they bring from home. Quite a lot of them take fluoxetine. It's the same as Prozac" Lara said.

"Prozac? Well why doesn't it say that on the box or any of the leaflets?"

"Sometimes the pharmacy gives you a branded medication, sometimes they give you a generic version. At work we have to learn both the brand name of the medications as well as the active ingredient" Lara explained.

"But everybody's heard of Prozac" Neil stated, his voice now tinged with a degree of frustration.

Neil sat forward on the sofa and cast the leaflet he had been holding onto the coffee table with a dismissive flick of the wrist, before slumping back, looking away from Lara and staring up at the ceiling. Lara had seen this kind of reaction before at work when she saw doctors speaking to patients; normally young men. It was a kind of shock and disbelief; denial even. Lara couldn't understand why Neil was having this reaction now, with her, rather than earlier with the doctor.

"So I'm on Prozac. Great!" said Neil, his voice dripping with sarcasm.

"You know I've got to take this stuff for at least 6 weeks?" he said, now shaking the small white box at Lara, which rattled with the sound of the pills inside in their blister packaging. The question was rhetorical. He needed to vent.

"I felt relieved when the doctor signed me off sick for another two weeks, but now I don't know what to feel. Can you believe that the doctor even asked me what she should write on the sick note? Stress, anxiety, depression or just mental health problems. I didn't know what to say. She put me on the spot. I said she should write stress"

Lara reached for his hand and squeezed it. She made a sympathetic face.

"They're doing some blood tests too. Could be an under-active thyroid. Won't know until next week, but that's more what I was expecting, you know? Something physically wrong with me"

"I hate to bring this up, but we had planned to have dinner with Russ and Katie tonight. Do you want me to cancel? I'll ring them and come up with some excuse" Lara gently offered.

"I don't know. I don't know anything anymore. I'm confused. I'm upset. I'm frustrated" said Neil, standing up.

Looking down into Lara's eyes as she sat on the sofa, she sensed Neil's care for her and his awareness of her feelings too, but his thoughts were in turmoil. He turned and went upstairs. She heard him kick off his shoes and get into bed.

Neil was asleep, fully clothed, when she joined him in bed a little later. She guessed that it must have been an emotionally exhausting day for him. Perhaps it was side-effects from the medication.

Next chapter...

Background Info

National Novel Writing Month (NaNoWriMo) takes place every November, when aspiring authors attempt to write a 50,000+ word novel within 30 days. This means averaging 1,667 words per day.

My 360 odd blog posts to date have averaged 1,246 words per day, so it shouldn't be too much of a stretch for me to write a bit more each day and achieve the goal. Plus, I have the support & encouragement of all the other authors who are taking part in this challenge.

Since leaving school, I have done very little creative writing, so a whole novel may be rather more difficult than I anticipate.

Hijacking my blog for the next 30 days seems unusual, but the general advice to authors is "write about what you know" so you may find that my novel is a natural extension of my blog, in actual fact.

Anyhoo, the working title of my novel is "Poste Restante" and without further ado, I shall begin #writing.

Contents

Chapter 1: The Caravan

Chapter 2: Invisible Illness

Chapter 3: The Forest

Chapter 4: Prosaic

Chapter 5: The Van

Chapter 6: Into the Unknown

Chapter 7: The Journey

Chapter 8: Infamy

Chapter 9: The Villages

Chapter 10: Waiting Room

Chapter 11: The Shadow People

Chapter 12: Enough Rope

Chapter 13: The Post Offices

Chapter 14: Unsuitable Friends

Chapter 15: The Chase

Chapter 16: Self Inflicted

Chapter 17: The Holiday

Chapter 18: Psychosis, Madness, Insanity and Lunacy

Chapter 19: The Hospitals

Chapter 20: Segmentation

Chapter 21: The Cell

Chapter 22: Wells of Silence

Chapter 23: The Box

Chapter 24: Jailbird

Chapter 25: The Scales

Chapter 26: Descent

Chapter 27: The Syringe

Chapter 28: Anonymity

Chapter 29: The Imposter

Chapter 30: Wish You Were Here

1. The Caravan

Neil's consciousness sparked back into existence. This was not like waking up, as if he had been dreaming. This was not like coming round after an operation in hospital, under general anaesthetic. It was much more akin to a sudden re-ignition of his brain activity, after head trauma, perhaps after being knocked out cold by a punch or a blow to the head with some other blunt object.

At first, Neil's mind was confused; everything was jumbled up. He could make no sense of what was going on. His thinking was cloudy; cognition impaired. Then, the blurry mess and unfamiliar shapes that had previously filled his field of vision now came into sharper focus. He started to see things in his surroundings that he could identify, even though he still didn't know where he was or why he was there.

Neil lay on a bed at one end of a caravan. The bed filled the width of the caravan and extended all the way to the bedroom door, which was wide open. At the opposite end of the caravan was a dining table, surrounded by a U-shaped bench of seating, with windows behind. The bench was upholstered with a pink floral pattern. The table had a wood veneer, although it was clearly made of chipboard, exposed around the edge. A small kitchenette was on one side and a toilet and shower cubicle on the other.

The interior of the caravan was not in good condition. Mildew stained everything. The ceiling had dark black patterns where the permanent dampness had allowed everything that was water permeable to fester in the moist atmosphere. The carpet, which seemed to have been some sort of dark maroon colour originally, was soggy and stained. Mud was trodden into the pile of the carpet around the entrance to the caravan. The carpet had started to rot and there were patches of blue furry mould growing in places. A lightly coloured textured wallpaper peeled away from the walls in places, revealing a layer of polystyrene insulation, as well as the glue behind, which had now turned an orangey-brown colour as it had aged and dried.

The bedroom windows were covered by navy blue curtains. These had been neatly stapled to the wall below and at the sides, so that little light could penetrate through each of the three windows at the bedroom end of the caravan. Where the curtains hung on the curtain rail, a small amount of light crept in and it was clear that it was daytime.

The other windows had been covered with self-adhesive opaque plastic, which allowed light into the caravan, but you could neither see in nor out. The plastic had been applied with little attention to detail: there were air bubbles and the edge had been cut rather raggedly, exposing some of the clear glass near the white plastic window frames. Paper masking tape had been applied around the edges of the windows, to cover the gaps between the plastic and the frame. The large window at the opposite end of the caravan from Neil had newspaper stapled above the curtain-less windows, draped down so that it covered two thirds of the window. On the left hand side, a bedsheet had been stapled above and at the side of the window. The staples were haphazardly placed and the sheet had folds and creases in it, hanging hopelessly from the wall, and no use as any kind of curtain. The staple-gun lay on the dining room table, abandoned.

In places, there had been small craters scraped crudely in the polystyrene insulation of the walls, so that the thin aluminium exterior skin of the caravan was exposed. In each of these craters in the wall, a hole had been punched through the aluminium. Beams of sunlight shone into the dingy interior of the caravan through the holes. These beams illuminated swirling mists of moisture within the caravan, almost like the silken threads of a spider's web, heavy with morning dew and shining in the sun.

Clothes were scattered throughout the caravan. Some were torn, others stretched or unusually knotted; all seemed ruined in some way. There was the debris of habitation: discarded food wrappers, dirty plates and cutlery on the floor. There were many other objects made of bits of broken plastic, rubber and string that seemed to be the twisted, mangled and knotted remains of other things that had been dismantled, torn, bent and otherwise manhandled to the point that they were no longer clearly identifiable as anything in particular. Things were strewn all over the floor, with no discernable pattern.

There were many containers distributed around the caravan: plastic bottles were filled with fluid in various hues of yellow and orange. Then there were mugs, saucepans, bowls and glasses that were filled with orangey-brown liquid. A glass on a shelf near Neil's bed had a layer of red at the bottom, then an opaque layer that was milky pale yellow and the topmost liquid - which filled the majority of the glass - was clear and brownish in colour.

After his sight, the second of Neil's senses that returned was his sense of smell. His nostrils were assaulted by a strongly pungent but not putrid smell. The smell was extremely unpleasant, but not so much so that it was causing Neil any feeling of nausea. The smell had a kind of nasty allure, like a strong ripe cheese. There was the smell of mould, damp and decay of soft furnishings, mingled with the smell of bodily odour, and distinctly a smell of urine. Sweat intermingled with the general dampness in the caravan and ran down the walls in droplets. The windows were completely misted up with condensed moisture. The cheap sponge of the upholstery and bed had soaked up a lot of this foulness. Clothing and bedding had also absorbed some of the humidity from the air.

Neil's memory of how he found himself in this position now slowly returned to him. Things made little sense to him. They had found him; they had surrounded him; they had been readying themselves to storm his little stronghold and they would tear him from the private surroundings which he had attempted to create for himself. They had antagonised him; they had spent an incredible amount of time making noises and assembling themselves for the onslaught; the invasion of Neil's privacy, now that they had found him. They had hidden in the shadows and attempted to remail unseen, but Neil had seen them: fleeting glimpses, as he looked out of the peepholes. Counter-espionage: they were spying on him, so he would spy back at them.

Neil had no idea what their motivation was. Why was he so relentlessly pursued? Why were they so voyeuristic, wanting to intrude on his private world? Why were they so childishly antagonising? Why did they tirelessly toy with him, so close, but waiting and waiting before they made their move? He was angry with them. Quite rightly too. He had gone to such incredible effort to create a bubble of privacy, far away from anybody he could possibly disturb, or who might happen upon him by accident. He was in such a remote hidden location. How could anybody have possibly taken offence at his presence?

His final memories before he blacked out were of a night filled with terror and blind panic as the people he had tried so hard to avoid and evade were now making their final advances. All the dim shapes he could make out in the surrounding gloom of the trees were of figures, coming towards the caravan. He could see the movement of people in the shadows that danced on the ceiling and walls of the caravan. He could hear twigs snapping underfoot as they were stepped on. He could hear the sound of bushes being brushed past and branches being bent to make way for the advancing horde.

He passed out. When he came round they were gone.

Tentatively, he started to try and sit up and make his way to one of his peep holes so he could look out, but he realised he had blacked out with his leg jammed awkwardly underneath himself. His foot had gone to sleep. Incredible pain swept through his leg as the blood started to flow again and the feeling came back into his numbed limb.

There was momentary relief as the pain in his leg subsided, but then he was flooded with pain from multiple parts of his body. His hips ached, many parts of his legs seemed bruised and swollen, his back and neck were very stiff and painful; his body was covered with cuts and grazes, especially his knees and elbows.

In agony, Neil managed to prop himself up by the nearest of the peep holes and pushed his face up against the wall so he could look out. He saw nothing. Just trees. Where had they gone?

How long had he been unconscious for? It had been night time when he had blacked out and now it was daytime, but there was no way of telling whether it was the next day, or the one after that. He had lost all sense of time: days and nights had blurred into one.

Neil had spent a long time, afraid to leave the caravan. How long, he couldn't be sure, but he knew that they had laid seige to him and now his situation was desperate. He was dying in that caravan. He was so thirsty. He was in a great deal of pain. It was clear that there was a lot of blood in his urine. He felt so weak. He really didn't want to confront his persecutors and he had hoped that they would act first so that he didn't have to make the decision. Now he was confronted with the dawning realisation that they had won. Surrender was his only option if he wanted to live.

He collapsed back onto the bed to contemplate his next move, not at all able or willing to fully comprehend the staggering unpleasantness of the situation he was in.

Next chapter...

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

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

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

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

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

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

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

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

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

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

This is a story about being objective...

If you want to compare two measurements you have to use the same yardstick. If you are comparing two subjective things then how can you possibly draw any concrete conclusions?

At times, I have kept a mood diary. I rate my mood from 1 for worst to 10 for best. Who's to say that if I rate myself as "1" during prolonged depression that's comparable to "1" on a bad day when otherwise I've been feeling mostly normal?

During a lengthy period of depression, where nothing seems to hold any pleasure or enjoyment: subjectively, life is terrible. I also have periods when I'm generally in a much better mood, but something really shitty will happen. The shitty thing might feel like the end of the world at the time, but I'm not going to kill myself over it: I'll quickly get over it and move on with my life... so can it really be a "1" even if it feels like it at the time?

If your mood slowly improves or declines, over the course of several weeks or months, can you spot the trend? If you're suffering a lengthy depression, does your yardstick change? You might have a day where you just feel normal, but now you rate that 10, because it's the best you've felt in as long as you can remember.

Do you even remember how you used to feel, before you got depressed?

This might be why I have a tendency to invite hypomania, because at least it's clearly some kind of polar opposite from depression, even if I don't exactly feel "happy".

Defining "happy" has started to get really hard.

Going in search of happiness has been a disappointing experience. Anhedonia means the loss of pleasure and enjoyment of things that you used to get a kick out of. Finding that you no longer love the things you've always loved to do, is terrifying, because it's further confirmation of the way that you feel: "everything is shit".

I ended up completely rebasing my whole idea about what made a happy day:

• "Got to work only an hour late"
• "Didn't quit my job"
• "Only drank one bottle of wine instead of two"
• "Survived another week without being sacked"
• "Got out of bed at the weekend before it went dark"
• "Went to the shops"

I know that I must be unwell, because I used to have happy days that were more like this:

• "Cooked a healthy dinner"
• "Went for a walk or a bike ride"
• "Took some cool photographs"
• "Went to an event"
• "Made a new friend"
• "Did some work I'm proud of"

Now, I could do those things, but I don't feel like it. Often when I try to force myself to do things, I get very stressed about it and I find it really exhausting. When I get home I feel wiped out and that I shouldn't have bothered. I find myself out taking a walk and nothing takes my interest enough to photograph it. That's weird. I used to live behind the lens.

So, I started to bring in more objective measurements: movement data, alcohol consumption, number of social engagements, number of words written.

When I analyse the data, I think the most reliable predictors of my subjective feelings of depression, are movement and alcohol. Looking at last year, I was averaging 12,000 steps a day, and although I had alcohol binges, my average consumption was reasonably low. This year, I'm averaging 7,000 steps a day and drinking excessively nearly every day.

Now, you might think "walk more, drink less" would be the solution, but this assumes a causal relationship. Perhaps I was more in the mood to walk more and drink less, last year. Perhaps the relationship is the other way around and my poor lifestyle 'choices' are actually due to depression.

We often tell people to eat healthier and exercise more, to improve their mood, but perhaps it's the people who have a happier mood who are the ones more likely to eat right and be active. In actual fact, healthy eating and being more energetic could be a good predictor of happier people.

The cause-effect relationship is not always clear. Psychologists had published a paper that appeared to show that smiling made you feel happier. However, when the experiments were repeated, the results could not be reproduced. If you can't reproduce the results of your experiment, it's not good science.

A friend made the following amusing observation:

"People who are dying of dehydration can't just mime drinking water to quench their thirst"

I think this hits the nail on the head perfectly. While depressed people can eat healthier and go to the gym, they're just going through the motions. They're not getting the benefits that their happy counterparts are getting, and in fact it could be pure torture for them.

There's an experiment where a pigeon is fed at a computer-controlled random interval. What the researchers found was that whatever the pigeons were doing the first time they got fed, they then decided they needed to do again, in order to get fed. Let's say the pigeon was cocking its head to the side when the food was released, the pigeon will then start repeatedly cocking its head, and believe that it is causing the food to be released, when in fact it's completely random. Essentially, the pigeons had become superstitious.

It seems relatively random - unpredictable - when a depression is going to lift. Let's say you were trying acupuncture or homeopathy at the time when your mood started to improve: you might assume a causal relationship between the alternative treatment and the lifting of your depression.

Even a double-blind placebo trial is not exactly fair. Psychiatric medications do make you feel noticeably different. I would be able to tell whether I was taking an inert placebo pill, or something psychoactive. I would know whether I was in the control group or not. Placebos don't work if you know you're taking a placebo, so this could explain some of the mood improvements seen with antidepressants. The antidepressant might look effective, when compared with the control group, but it's the placebo effect.

Antidepressant clinical trials generally only take place over 6 to 12 weeks. Many common antidepressants take 6 weeks before their effects can even be felt. There is no focus on long-term outcomes in these trials, only that the medication should perform better than placebo.

Many trials of longer duration have shown that being unmedicated might be more effective in the long-term, than taking antidepressants. Pharmaceutical companies are not concerned with long-term outcomes. In order for a medication to be sold to the public, it merely has to be safe and proven to be marginally better than placebo.

You would have thought that taking antidepressants would be a lot better than not taking them, right? In actual fact, there might only be a 15% chance of you feeling better, but there's a 15% chance of unpleasant side effects. The very process of going to your doctor, being listened to by somebody nonjudgemental, and then feeling something even if it's not actually better, might convince you that you're improving, when actually your depression could be lifting quite naturally anyway.

Culturally, we have developed a strong superstitious belief in the power of medicine. We believe there's a pill for every ill. We believe that a man in a white coat can wave a magic wand and we'll be cured of any ailment; discomfort.

You only have to go into any pharmacy during the winter, to see signs that say "we have no medication to treat your common cold". The fact that doctors and pharmacists have to tell people not to waste their time with an incurable virus that has unpleasant but non-life-threatening symptoms, shows how strongly we believe in the power of medical science to save us from even a runny nose.

There is a clear difference between "feeling a bit sad" and depression. Depression is life-threatening. Depression has a massive impact on people's quality of life. However, we are often medicalising a non-medical problem.

If somebody who's feeling down visits their doctor and receives some medication that's basically a placebo that makes them feel a bit different - drugged - then their pseudo-depression will lift, because it was going to anyway. The non-judgemental medical consultation will also have marginally assisted.

However, those who have prolonged severe depression - to the point of suicidal thoughts - may find that their quality of life is actually reduced by medication, because it gives no real mood improvement, but it does have unpleasant side effects. The longer-term studies seem to back this up.

Through extensive research, I found a number of medications that are very rarely prescribed, but have been used for treatment-resistent depression. These medications are dopaminergic not serotonergic.

There are a whole raft of medications used to treat Parkinson's disease, that have been shown to exhibit antidepressant effects and can successfully treat patients who had previously been treatment-resistent.

In the most severe cases of depression, deep-brain stimulation has been employed with remarkable efficacy. Deep-brain stimulation had previously only been used on patients suffering from Parkinson's disease, to stop their tremors.

The idea of having electrodes implanted into my brain does not sound immensely appealing. Rats who have had electrodes implanted in their lateral hypothalamus will starve themselves to death, in order to press a lever thousands of times an hour, to stimulate their brains. Do humans who have had the same procedure, just stay at home hitting the button as often as they can? We have wandered into the territory of the neurological basis for addiction.

This is how I arrived at my decision to use a medication that helps people to quit smoking.

My very first addiction was to nicotine. I had no choice in the matter. My parents forced me to breathe their second-hand smoke. Because I was a tiny child, the concentration of nicotine in my bloodstream would have been very high. Second-hand smoke was responsible for inflicting an addiction onto me in my infancy.

In the UK, nightclubs, bars and pubs used to be filled with smoke, until July 2007. My addiction was therefore maintained through passive smoking. The timing of the ban seems to correspond with my first episodes of depression.

The stop-smoking drug called Zyban is actually France's most popular antidepressant. The French have found that Bupropion - the active ingredient in Zyban - is also effective for treating alcoholism. The link between addiction and depression seems clear.

I have a theory that my brain is in mourning. I was subjected to second-hand smoke throughout my childhood, and I spent a lot of time in smoky clubs and pubs. Nicotine withdrawal was something I was used to experiencing again and again, but what I'd never been through was a prolonged period of withdrawal, because I would regularly get a hit of second-hand smoke. It wasn't until the age of 27 that I was finally able to escape nicotine, because of the smoking ban, even though I have never smoked in my life. You would expect that such a prolonged addiction would produce a profound psychological effect, when my brain realised it was never getting any nicotine ever again.

I then experienced a later period of addiction. Although there were periods of abstinence, these never exceeded 3 or 4 months, and the total amount of time that I struggled with addiction is close to 5 years. The addiction was extreme. The drugs I was using have a much more profound effect than cigarettes. Still today, after 6 months of total abstinence, I get shaky sweaty hands and feel sick with anticipation at even the merest thought that I might be able to obtain some drugs.

Although Bupropion is a poor substitute for the addiction I once had, it does at least slightly soothe the aching sense of loss... the mourning.

Thinking about this more now, it seems obvious that I should mourn the loss of the love of my life. My addiction was so obsessive, overwhelming, all-consuming. How on earth can you let something like that go, with just a 28-day detox, or a 13-week rehab, if it's been a huge part of your life for years?

It should be noted that my mental health problems, which predated my addiction, compound the problems. To give an official name to my ailment: it's called dual-diagnosis. That is to say, Bipolar II & substance abuse. Yes, substance abuse is a kind of mental illness. Take a look at the kind of self-harm that addicts are inflicting and tell me that's normal behaviour. That is why substance abuse is classified as a disease.

Bipolar II is a motherfucker, because it comprises both clinical depression and hypomania, which are both destructive. Therefore, I'm actually suffering with triple-diagnosis and trying to fix 3 illnesses... although the hypomania is something that most people with Bipolar II wouldn't give up, and substance abuse is hard to stop because of addiction.

I haven't had a hypomanic episode in almost a year, and I've been abstinent from drugs of abuse for 6 months, therefore the final nut to crack is this damn depression, which might turn out to simply be the fact that - subconsciously - I'm depressed that I can't take drugs anymore. It feels like the love of my life has died, hence why I'm describing it as mourning.

How long it will last, I have no idea, and I've lost patience... hence resorting to a mild form of substitute prescribing. I successfully beat addiction once before using Bupropion. I beat it using progressively weaker drugs, until I was weaned from my addiction.

You wouldn't ask a smoker to quit without nicotine patches. Why would you expect somebody with an addiction to harder drugs could quit with willpower alone? The only slightly unusual thing is that the stop-smoking drug seems to be just as effective for addictions to things other than nicotine.

Perhaps we will one day treat all addictions as compassionately as we treat nicotine addictions. Certainly, there doesn't seem to be a lot of appliance of science, when it comes to treating addiction to anything other than smoking.

Subjectively, cold-turkey & willpower is a fucking awful approach to beating addiction. We have the scientific data to show that smokers are 4 times as likely to successfully quit, with nicotine replacement therapy and smoking cessation medications like Zyban.

Of course, a relapse would be disastrous, but haven't I already relapsed back into depression?

I've been on medication for 5 days now, and Bupropion should start to be effective within a week, so perhaps I will feel an improvement in my mood any day now. Certainly, my suicidal thoughts seem to have stopped, but that could be psychosomatic and also because my horrible contract ended.

You see what I mean about how hard it is to control the variables? Human lives are messy and complex. It takes vast quantities of data to be gathered over many years, not a 6 to 12 week trial with 30 people.

Also, there's an argument to say that your subjective yardstick is altered by your experiences. Your perfect 10 can become unattainable, except through the use of powerful narcotics. Does that also mean that the best you can ever hope to feel is mildly depressed, now that the bar has been set so high? My only hope is that my brain "resets" itself over time. The brain can downregulate parts that are overactive, in order to maintain equilibrium, so it can also upregulate... eventually. The big concern is neurotoxicity: have I irreversibly "burnt out" the reward centres of my brain?

6 months isn't long though. I'm going to see what happens if I can make it to a year. Presumably, there might be marginal improvements that have happened already, but are too subtle for me to perceive. The data actually bodes well: instead of spiking back up into hypomania, things have plateaued during the last couple of months.

This unethical self-experimentation doesn't yield any results worth publishing but it does give clues as to what could be worth researching. A sample size of one is not statistically significant, but it's important to me, because my life depends on it.

Tags: #bipolar #depression #mentalhealth #addiction

This is a story about reality checks...

When you're amplifying a signal - for example, a microphone connected to a public address loudspeaker - then you have to be careful that you don't get the microphone too close to the speakers, or else you will get horrible feedback.

My blog is read by friends who've known me for years & years, but I very rarely meet up with them. Sometimes I get an email or a Facebook message, and it's jaw-dropping that they understand me and what I've been going through so well. The usual trite platitudes (e.g. "why don't you try getting more exercise?") are certainly applicable to anybody and it does show that you care, but it's a wonderful experience when I communicate with friends and they've got all this background info on me.

Regarding my blog, only very rarely will anybody ever present an alternative opinion, or challenge me. I think I have a fairly persuasive manner of putting a point across, and I write with a great deal of certainty; forcefulness. It must be somewhat intimidating: the idea of potentially entering into debate with me.

A strange thing starts to happen when you think about things in isolation too much. Because I work with boolean algebra for a living, I start to think of everything as binary: there's a right answer and a wrong answer. I can use a lot of deductive reasoning to arrive at a set of beliefs that evolved purely from logic - a priori - as opposed to being shaped by experiences, discussions and human relationships. I labour the same points, over and over again, becoming ever more certain in my convictions and better and better at defending my position; entrenched in my stance.

It's quite satisfying to present your thesis quod erat demonstrandum.

Weirdly, if nobody calls you out on anything, then you assume that you must have made a valid unassailable point. When somebody does call you out on something, then things get a bit more fun, because you have to decide whether to dig into your trenches and defend, or whether to concede the validity of an alternative viewpoint that had not been considered.

I used to have a certain attitude that could be surmised as follows:

"Fuck you. You're wrong"

Once you have constructed a fairly infallible piece of logical reasoning, being told "no, I disagree" is the most frustrating thing in the world. You can't just disagree with something. It's point/counterpoint. You need to make your own reasoned counterargument. Contradiction is just stupidity. It's very frustrating to deal with people who don't even realise that they're complete idiots.

I deal with idiots for a job: they're called computers. If I tell a computer to jump off a cliff, it will do it. Computers just follow my instructions to the letter. Computers follow my logic with 100% precision. Being a computer programmer quickly teaches you how to logically reason things, leaving few loopholes. If you leave loopholes, these are called 'bugs'. Bugs will cause rockets to explode, trains to derail or aeroplanes to crash.

And so, a computer programmer arrives in the real world, and they're experts at spotting cognitive dissonance. "Fucking immigrants, coming over here, taking our jobs"... but, but, but you're an immigrant, stutters the programmer, incredulous that somebody could be so stupid as to not see the flaw in what they're saying.

Anyway, I'm not even part of the debate. I'm watching from the sidelines, writing my manifesto; proselytising my theology; broadcasting my dogma. Nobody is questioning the validity of anything I'm saying. Nobody is challenging my assumptions. Nobody has yet said "you're wrong, and this is why...".

Even to say the word manifesto sends a shiver down my spine. I fear that I might have gone mad. There are so many vilified people and policies, linked to a manifesto. In Britain we are not particularly terrified of communism. Being called "red", "Marxist" or "Trot" is not even pejorative, to me. However, if you were to point out that Anders Breivik also wrote a manifesto, and so did Hitler, then I start to feel a little defensive.

But, how the hell are you supposed to develop a political ideology, if you don't write it down? If you can't express a set of values and ideals for the betterment of humanity, then what? Am I only allowed to select from a menu of just a few mainstream choices? Of course, this is what party politics wants. The idea is that we should vote for party, not policy. If we voted for policies that we wanted as citizens, we'd be getting dangerously close to having a democracy.

If voting made any difference, they wouldn't let us do it.

I worry like crazy about how isolated and weird I'm getting, honing my ideas and developing my system of values, without very often discussing what I'm thinking over a pint of beer, with a good friend in the pub. Obviously, one must be mindful that Mein Kampf was conceived while Hitler was in hospital, and started when he was incarcerated. It's mad to speak this aloud, but I'm always asking myself: "am I more like Hitler or Jesus".

Christian values are actually pretty cool. Forget the ten commandments, because, I mean, rape isn't even on there. Graven images: no frigging way! Rape: no problem.

Jesus Christ was an awesome dude. He basically founded the Occupy Wall Street movement when he turned over the tables of the money lenders in Herod's Temple. Does that make him an anti-semite though? Could that have been a hate crime, given that it was an attack on Jewish businessmen, in a holy Jewish temple. Certainly a controversy worth pondering.

Then you get to thinking that Jesus Christ, The Prophet Mohammed and Adolf Hitler, all thought that earning interest should be abolished. Hitler was a socialist, as was Stalin, but then so was Tony Blair and he started an illegal war that ended up killing hundreds of thousands of innocent Iraqis. It's all so damn confusing.

To my mind, if you have a political system that's successful for the vast majority of people, the educated bourgeois can go to hell. To hell with your freedom of speech. To hell with your attempts to pervert government to better serve your own needs, at the expense of the majority. Go buy yourself a desert island if you want to run things in your own selfish interests.

Eventually, I arrive at the decision that it might be better to just write a utopian novel that merely disguises my manifesto. It should be no surprise that I've extensively read Orwell and Huxley. However, the dystopian novels seem to have become instruction manuals for our governments. Perhaps novels are powerfully influential, in all the wrong ways.

I love the Roman idea of the forum. The Internet discussion forum is a wonderful invention. The online communities are a lovely place to inhabit.

My writing and debating skils - or lack thereof - were honed in the arena of the online discussion forum. In a way, I did a lot of growing up, by reading, writing, trolling, debating and very often being shot down in flames.

Now, I have brought those writing skills, and the skill of making a reasoned argument expressed in a succinct and persuasive manner, to bear in the world of blogging.

I deliberately chose a non-Wordpress platform, because I wasn't looking for yet another blog and to connect with yet more bloggers. All the bloody comments sections are filled with other bloggers, link building back to their own blogs. It's such a ridiculous echo-chamber of people all clamouring for readers. How can you compose your thoughts and reach conclusions, when embryonic ideas are critiquéd so immediately?

I could have started to write on Medium, and I'm thrilled that my friend whose startup powers this blog, is now working for them. It might sound like intellectual snobbery, but there is a higher standard of writing and comments on Medium, than anywhere else on the 'Net right now.

But really, the biggest win for my blog has been to inform a bunch of my old friends from my discussion forum days, what the hell happened to me when I "went off the rails". It's been an opportunity to defend myself against malicious rumours. It's been an opportunity for me to ward off the shame and sense of failure, for things that happened.

Finally, the nicest thing happened the other day: I met up with a friend at the pub, and he reassured me that I'm still the same person who he knew, all those years ago, before the whole horrid mess in the middle. It's an immense relief to know your personality hasn't changed, your brain hasn't been damaged and the person that friends once knew, still lives and breathes and hasn't been replaced by some demonic creature.

Life is pretty hard without feedback, but equally, it's been useful to write at length without the debate that so ground me down and made me unwell before. It's a horrible thing, to be so misunderstood, and to feel like the people who are supposed to care about you are working against you. It's so hard to argue with multiple people at once. It's so hard to defend yourself against a mob.

Publishing is super powerful. Publishing is like a megaphone, to shout down the bullies.

However, the occasional reality check has very high value.

Tags: #writing #politics #friends

This is a story about milestones...

There are so many people who either "don't smoke" or call themselves "social smokers". People say "I only smoke when I drink". There are so many people who claim that they are free from drink and drugs, but they're actually popping Xanax, antidepressants, Oxycontin, Solpadeine, Co-codamol (codeine), Vicodin and tranquillisers. There are so many people who sneer at substance abusers, but they drink, smoke and consume lots of tea, coffee and energy drinks, without realising they're dependent on alcohol, nicotine and caffeine, just to cope with normal everyday life.

In 6 months, I got through those 59 tablets - a combination of diazepam and nitrazepam - in an attempt to avoid a nervous breakdown and to survive an extremely stressful situation, where my whole career, solvency, home and life as a respectable member of society, hung in the balance.

If you take benzodiazepines continuously for over 3 months, you have probably become physically addicted. What that means is that you might have a seizure and die, if you were to abruptly stop taking the medication.

I've run out of benzodiazepines today.

I'm not worried about this.

59 tablets, of 2mg to 5mg strength, spread over 180 days, is a piss in the ocean. There's no way that I'm going to have withdrawal symptoms from stopping taking benzodiazepines. I might be a little anxious; I might have a little insomnia; I might feel a bit panicky. However, I'm not going to die.

A couple of years ago I took myself off to rehab. For over 3 months I had been swallowing a little cocktail: 6x 10mg diazepam tablets, 4x 2mg Xanax, 2x 10mg Ambien, 2x 15mg Zopiclone. Maybe it wasn't quite that much. I have no idea. Benzodiazepines cause amnesia. All I can remember is that I used to fill up the palm of my hand with various pills, and swallow them all in one go. Lights out. Wake up 2 days later.

You're in a hell of a mess when you're mixing uppers and downers; stimulants and tranquillisers; but that's what we do every day, when we have our morning coffee and a glass of wine when we get home from work. If you have a strong coffee after a boozy dinner, you're basically having the middle-class equivalent of a speedball (cocaine & heroin, injected).

Obviously, I'm irreverently mocking your self-delusion, when you tell yourself that you're not "hooked" on anything.

I've used alcohol and the occasional tranquilliser tablet, in order to limp through the last 6 months. I haven't been having tea, coffee or other caffeinated drinks.

I've actually tapered off the alcohol and the benzos, to the point where I only drank 2 days in the last 14. I didn't take any benzos all weekend.

The thing is, if you're smart and you're disciplined, addiction is something you can master. It is possible to give up anytime you want. It is possible to become really good at quitting drugs and booze. I'm a fucking expert in abstinence.

Almost like an alarm clock going off, my subconscious revealed that I had simply been waiting for 6 months.

School was absolute shit for me. Getting through the long school days of bullying was awful. Getting through the long terms of bullying was unbearable. Getting through year after year after year of bullying was absolutely dreadful. All I was doing was waiting for the end of school bell, the school holidays, and the day that I could finally leave school and get the fuck away from the bullies.

Family life was absolutely shit for me. I couldn't wait to move out of home, and get away from my arsehole parents. I've loved paying my own rent and bills. I've loved being independent. I do have all the fucking answers. I went out into the world, got a place to live, got a job, and never looked back. Up until then, I'd just been waiting for the day I could finally leave home, and it couldn't come a moment too soon.

So, I spent 17 years, just waiting. I was biding my time. I know how to suffer patiently. I'm an expert in suffering patiently.

Then, I applied my expertise in deferred gratification to the working world. I took shitty entry-level jobs and worked my way up. I stuck with shitty projects, and shitty companies, so that my CV would look good. I stuck with shitty bosses and put up with glass ceilings. I stuck with idiots who couldn't see my potential, and I just suffered because I had a game plan.

I can patiently wait anything out. I've had to spend about 16 weeks with very limited liberty, being treated as an inpatient. That's not including the time I've spent in hospital receiving emergency treatment. In theory, I could have discharged myself, but there would have been consequences. I spent 7 weeks with somebody who'd been in prison twice, and he acknowledges that I have a mindset that suggests I know how to do time.

I mean, Christ, I spent the best part of 5 years working for one damn company, in one damn building, with the same damn people. Day after day, month after month, year after year. I've done 19 bloody years on the IT gravy train, solving the same damn problems again and again and again, and seeing the same damn mistakes time after time.

And so, I wondered to myself, why didn't I have a packet of drugs to tear open, in celebration of the fact that I have so easily completed a 6-month period of abstinence?

What you'll find with many addicts, is that they're liars. When they say that they're abstinent, they're actually lying to themselves and others. I've done "6 months clean" before, but that hasn't counted "the occasional weekend" and one or two "lapses" (note: a lapse is a 'small' relapse). In actual fact, you're still addicted, but you're limping yourself along by hiding your habit, from yourself and others. You start to believe your own lies.

I've arrived at 6 months "clean" and it really is clean. As clean as anybody in the history of anything, ever.

Most people who quit smoking will drink more, have more coffee, eat more. Most people who quit anything, will find some way of compensating. It might be exercise; it might be work. Basically, humans need shit. We're not fucking robots. Humans have always had intoxicating substances. Wine was being made 6,000 years before Jesus Christ was even born... that's over 8,000 years ago!

Anyway, I started looking at websites of awful toxic Chinese "legal" highs. Then I had a look at the Dark Web. The amount of drugs that are available to order over the Internet is just staggering. Prohibition has spectacularly failed. The designer drug industry is enjoying such a boom time, thanks to ridiculous laws that force chemists to get creative. Technology's answer to the eternally insatiable human demand for mind-altering substances has created a whole swathe of online marketplaces stocking every drug under the sun.

There's something for everybody in the cornucopia that has been created by the war on drugs.

My finger hovered over the "Buy Now" button, because I've damn well proven my point. Pick some arbitrary milestone, and I'll hit it, easily. But, what do I have? My life is miserable. All I have ahead of me is stress and loneliness; insecurity and pain; suicidal thoughts and a sense of abandonment. Fairly easy to justify a relapse, isn't it, when you work so hard and you're not getting anywhere.

Then, I thought, what could I do that's slightly more sensible?

With a bit more searching around on the Internet, I found that you can consult a doctor online and have a prescription despatched next day. In the space of 7 minutes, a doctor agreed to prescribe me a fast-acting antidepressant called Wellbutrin. I needed something because I felt certain that I was either going to commit suicide quickly by cutting an artery, or commit suicide slowly by relapsing back into drug abuse.

Wellbutrin is a wonderful medication, because it's fast acting, it doesn't make you drowsy, and it doesn't ruin your sex life. Have you experienced the boredom of patiently fucking somebody who takes an SSRI antidepressant, waiting an absolute age before they possibly cum, but probably won't be able to? Who wants a sex life like that? I don't want my emotions blunted. I don't want 'brain zaps' and uncontrollable crying when I try and stop the damn medication.

Yeah, who knows what the fuck happens next. Tomorrow, I have a 2-month supply of a fast-acting antidepressant that you can't get on the NHS being delivered. Maybe life will look a bit less hopeless when I'm drugged out of my mind, like virtually everybody else I know.

It feels like selling out, but it's nearly killed me having to fight tooth and nail just to have a roof over my head and a job, while also being nearly stone cold sober. I don't have kids to remind me why I get up and go to work. I don't have pets to look after. I literally have no reason for living, except to achieve some arbitrary goals.

I thought, as an added bonus, that I would also be celebrating one year of blogging today, but it turns out that happened a couple of weeks ago. Today is my last day at work, and I've had a couple of leaving dos, which is nice, but I do of course have to go though all the stress and hassle of applying for new jobs, interviewing, making a good first impression etc. etc. How ironic that things seem to have conspired to happen today.

As luck would have it, a colleague has recommended me for another job, which I might end up interviewing for tomorrow and could even be asked to start a new contract as early as Monday. If I do that, I'm damnwell going to need a few happy pills to carry me through, because I had been thinking that I was going to have a minor nervous breakdown.

Anyway, a milestone of sorts. Nice to leave work with a few slaps on the back and "well done"s. Nice to know that I didn't 'cheat' with my 6 months of abstinence from addictive stimulants. Where's my fucking reward? Surely I should feel better than I do, but I'm depressed and anxious. I'm overwhelmed by the task of having to hustle again, to keep the momentum going.

But really, is there momentum, or did I just wait for 6 months, in order to have a well-earned breakdown?

Is that what life is? Just waiting to die, miserable as fuck?

Tags: #depression #suicide #addiction #drugs