This is a story about refusing help...

If you spend enough time with general practitioners, general psychiatrists, specialist consultant psychiatrists, registered mental nurses, specialty doctors and all the very many other mental health professionals who are part of inpatient and outpatient clinics, community mental health teams, crisis teams and all the other apparatus which is supposed to treat mental health problems, one begins to realise a rather unsettling truth: there aren't very many treatments and they don't work very well.

Psychiatry is a young branch of medicine and it doesn't have a lot to crow about. Since the days of asylums and lobotomies, psychiatry has been dogged by scandals, including the extrapyramidal side effects of medications which have left patients with lifelong irreversible unpleasant problems. The data do not show encouraging outcomes. In fact the outlook is dismal and appears to be worsening as the toxic conditions which create mental health problems, seem to be intensifying. Rates of depression, anxiety, eating disorders, OCD, autistic spectrum disorders, attention deficit and hyperactivity... these are all soaring. Treatments are not effective and vast numbers of people are condemned to suffer with their illnesses AND the side effects of the medications.

I've been lucky enough to have access to private medical care, at times, and even with the very best professionals and medications, there is not a vast difference between what's available from the public healthcare system. It's all pretty crap and it doesn't work very well.

This is not a damning indictment of those who dedicate their lives to trying to treat mental illness, but simply a cold hard rational analysis of the facts.

The conclusion I've reached has been that there's an over-medicalisation of non-medical problems. The bulk of my problems have stemmed from the collapse of my relationships. I got divorced. I am estranged from my family. I've been forced to move to cities where I have no friends - no social support network - in order to work jobs which have been unsuitable for my health. I have the enormous pressure of having to work full-time, to pay rent, bills and service enormous debts, which is unbearable for a person who's having a crisis.

My mental health would be vastly improved if I had a partner, a social support network of local friends, financial and housing security and a job with reduced hours, until this crisis is resolved. Healthy diet, sleep hygiene, exercise, sex, physical affection, sunlight, fresh air, social contact, hobbies and interests... these things are all essential for human wellbeing. None of those things can be prescribed by a doctor.

During the worst days of my addiction and rough sleeping, I noticed that my fellow homeless alcoholics and addicts were not without some routine and social lives. Romantic relationships are not the exclusive preserve of those who live in houses and have jobs. The life of a homeless drug addict might be chaotic to the outside observer, but a less prejudiced analysis reveals no less structure, no less need for comfort, no less humanity. Those who have fallen into habits of addiction and homelessness might find the community of drug addicts, alcoholics and homeless to provide the social support network and sense of community, which they'd struggle to find living anonymously behind a front door.

Does anybody really know I'm here... in this house... in this city? In many ways I have found my contact with hospitals and the police to be of great comfort. I have found the nonjudgemental members of the NHS and police force to be incredibly kind and compassionate people. It's nonsensical, but I've been happy to be hospitalised or arrested. I've been happy to be in a cell or on a hospital ward, with somebody checking on my welfare. Behind my own front door I could be hanging by the neck, dead, and nobody would discover me for days or maybe even weeks.

My problems are mainly attributable to unmet basic needs: hugs, face-to-face conversation and a sense of belonging.

Because of the obvious things which need to be fixed in my life, it seems wrong to seek medical help, when my mood could be radically different if all the broken things were fixed. It might sound like a fun adventure, going to new cities, but the reality is very miserable and lonely. The reality of my present life is that I don't pick up the phone to speak to anybody when I'm feeling dangerously depressed - who would I phone? What would they do? It's not like anybody can nip round to check I'm OK.

Humans are social creatures, but I live on the periphery. I live on the periphery of life itself, always in danger of death or medical emergency. The state of being suicidal should be considered a medical emergency, especially in men of age 20 to 40, where suicide is the biggest cause of death. My perception of the danger is not warped, given my history of suicide attempts and hospitalisations.

There isn't a pill or some psychological therapy which would be effective... especially not when so much of my life is broken. It's not a medical problem. Sure, I have an underlying mood disorder, but the highs and lows of bipolar don't make me as unhappy as my social isolation does.

How I set about fixing things, I have no idea. The task seems insurmountable.

Tags: #bipolar #medication #nhs #depression #suicide

This is a story about biding your time...

One of my favourite things to make and eat is beef jerky or biltong. Mixing a marinade, lovingly covering the meat and then slowly drying it is something which can take 30 hours or more. The smell is quite tantalising throughout the process, but there's no short-cut to the end. If the beef is marinated for less time, it will be less flavoursome. If the beef is dried too quickly it will be cooked instead of dehydrated, and it will be brittle, not chewy.

My life has become a game of waiting. I'm paid for my attendance, not my contribution. I'm paid to be present, but also paid to be quiet. The more I'm present and the quieter I am, the greater my financial reward, but it's pretty unbearable. I literally just have to watch the clock and think of the money. If I tried to make myself useful, people wouldn't like it and it would cause problems.

The situation is ridiculous, because even a small child could see that I don't have to do anything and I will be handsomely rewarded with desirable things, such as cash, houses, cars, holidays, clothes, gadgets and suchlike. It's very easy to extrapolate and say that it's almost inevitable that I'm going to earn a staggering amount of money, for doing almost absolutely nothing.

The situation is hard to handle. I can see every single step in-between here and the 'finishing line'. It's as if there's a well-lit staircase that leads to the top of Mount Everest, and I know exactly how many steps there are, and also that theoretically my body is capable of climbing that many steps, but it's psychologically distressing to know exactly how many steps there are between me and the summit. Sometimes it's not a good thing to know the way. Sometimes it's not a good thing to be so aware of the journey ahead.

I'm aware that human bodies only last a finite amount of time before they fail. I can comprehend the number of sleeps that I have left before I expire from old age. A friend pointed out that 9 years is 108 months, which seemed like an interesting way to break down a decade - making it more bite-size - but the idea of living for another decade is not inviting to me. Getting to the end of this month will be an achievement.

My perception of time is warped. My sense of boredom is heightened. My attention span is ruined. I feel anxious all the time. I have terrible anhedonia.

Life's not very liveable but life must go on. I have to choose between the rat race and the endless exertion to keep my head above water, or else I will be turfed out onto the streets and will have to live a pitiful life of begging and sleeping rough.

My thoughts turn to suicide often.

Suicide is the obvious choice, because it ends the struggle completely. No more anxious waiting. No more slow plodding towards the inevitable. No more unpleasantness.

I'm aware that I'm frustratingly close to a major breakthrough. I'm aware that I've rebuilt myself fairly miraculously and I'm a completely different person from the junkie I was 2 years ago. It seems brutal that I would lose the love of my life, lose my amazing apartment, be forced out of the city I called home and end up attempting suicide, only to end up surviving and clawing my way back from almost-certain bankruptcy, only to give up at the point I was at break-even. It seems ludicrous that I'd claw my way back from so-called "rock bottom" and then decide that it wasn't worth it, except to die with a bit more pride and dignity.

I was chatting to a friend and we wondered whether we had screwed up our brains and our bodies too badly to ever recover. We both reported feeling a lot of physical discomfort and health problems, as well as terrible depression and anxiety. Ironically, he has all the things that I think I want: a girlfriend, hot weather and freedom from the rat race. The thing we have in common is bipolar disorder and substance abuse, so perhaps the evidence is pretty clear - drugs will mess you up and leave you in a miserable state.

The annoying thing is that my life isn't filled with drug abuse. My life is filled with 9 to 5 Monday to Friday commuting and office routine. My life is filled with paying rent and bills. My life is filled with supermarket shopping and doing laundry. My life is filled with mountains of paperwork. I've been well-behaved and I've made healthy choices, but it hasn't made any difference - I'm still depressed.

I suppose my depression can be explained away by events such as a breakup and a lot of stress - moving house - as well as the sustained problems I've faced in the past years, as I've attempted to restore my health and my wealth. It's hard not to lose patience though. It's hard not to give up, given the sustained effort that has been required to get where I am, and the way I feel at the end of it all.

After all the effort and the uncertainty and the horrible things I've had to endure, when I think "was it worth it?" I'm not sure that it was. In fact, I'm pretty certain that I wish I hadn't bothered. I'm pretty certain that I'd like for the pain and suffering to end sooner, rather than later. I cannot see any reason to carry on, when the reward is only more pain and suffering.

I'm kinda worried about keeping myself safe. I started thinking about places in my house where I could hang myself. I started thinking about cutting some major blood vessels in the bath. I started thinking about obtaining highly toxic poisons from the internet. I started thinking about practical considerations, such as the effect on my sister.

It's not good when a considerable part of your waking day is spent thinking about ending your own life.

I'm aware that I've probably unbalanced my delicate brain chemistry, through stressful events as well as medications. I binged on some pills. I self-medicate with other pills. The demands placed upon me by moving house and working a stressful job have driven me to feel suicidal before. I don't have any friends in the city where I live. These things are not conducive to good mental health.

I know that if I keep forcing myself to go to the office, my bank balance will continue to improve, which opens up a whole world of possibilities and reduces the amount of stress and pressure in my life. I know that as long as I stay alive, the days are getting longer, the nights are getting shorter and the weather is improving. I know that depression doesn't last forever. I know that anxiety has only ever come into my life as a result of abusing alcohol and benzodiazepines. I know these things, but it doesn't make the present day any more bearable.

There's no way to hurry things along. I either have to wait, or kill myself.

Tags: #suicide #anxiety #depression #bipolar

This is a story about being unintelligent...

I like eating in expensive restaurant. I like flying business class. I like staying in luxury hotels. I like not checking my bank balance; not budgeting.

What gives me the right to live so lavishly?

My grip on reality is tenuous. My sanity is questionable. I certainly have no certification to 'prove' my intellect. My curriculum vitae hides the truth of the past 6 years of my life, because I was wily enough to start a company to paper over any cracks, but closer scrutiny would reveal lots of gaps.

I should be penniless scum, abandoned by society and left to rot in the gutter.

Certainly, I've survived the unsurvivable because I'm creditworthy and I've borrowed, in order to maintain a certain standard of living. No grotty bedsit for me. No squat with newspaper covering the windows and a filthy mattress on the floor. If I've decided that I'm going to work hard and attempt to rescue myself from certain bankruptcy and destitution, then I've always demanded to have a nice place to live.

It seems spoiled and entitled.

To me, I simply can't see the point in existing in a miserable state. What's the point of being alive if it's going to be so lacking in dignity? Sure, plenty of people live in dire poverty and they go about their business quietly and without complaint. Good for them. That's not for me.

It seems like an unreasonable expectation. Why should somebody who's so heavily indebted be allowed to never check their bank balance and enjoy a high standard of living? Why should somebody who's had problems with addiction, alcoholism and mental health be allowed to have lovely holidays, live in a big house and generally spend money with gay abandon?

I have complete irreverence for money.

Money answers none of the big philosophical questions, such as: why are we here? Money contributes nothing to our fundamental understanding of the universe. Money does not figure in the big picture. Money is not even a rounding error. Money is simply an absurd transient concept, amongst a transient society of a transient species. Money is nothing in the face of death.

I suppose that's the root of my views on money - that I've faced death so many times that I have no fear of running out of money. Money is simply invented out of thin air, and is something to be laughed at as ridiculous, but death is widely regarded as a permanent and irreversible state. Why should I fear running out of money when I can always go and get some more? I can pluck money out of thin air, because it's just a fabricated human construct. Death however, is something which has certainly proven fatal to more than 100 billion souls thus far, so it deserves a certain amount of respect.

It's because I value life and respect death, that money is an irrelevance. It would have been nice to embed myself in an academic institution, where my mind could have been occupied with silly puzzles and other trivial things. I could have busied myself telling a captive audience of children incorrect things, with an air of authority. Instead I have embedded myself in massive organisations, who remunerate me excessively to compensate for the absurdity of the so-called 'work' they ask me to do. I'm paid to be bored and unfulfilled - living an inauthentic life - so my compensation is to be able to do enviable things and live relatively unconcerned with financial matters.

As you might imagine, recovering from debt, mental illness and addiction is not quick and easy. We are quick to write people off, because of the vast amount of time and money required for a person to recover. We think that junkies - in particular - are no-hopers who will not be able to overcome the adversity they face, in order to return to a normal life.

I don't want a normal life.

I had a good life before and I want to have a good life again. I'm not going to settle for simply being alive. I want it all. I want everything.

Tags: #addiction #homeless #bipolar

This is a story about empathy...

I sometimes wonder whether I caused myself some long-term health damage by taking ecstasy tablets - MDMA - every weekend for approximately 18 months, when I was in my late teens. I think that whether it did or didn't affect my neurological development, it certainly affected my personality and outlook; my approach to dealing with other people. I've adopted my attitude towards openness and honesty as a response to the empathy and trust I felt, due to the effect of mind-altering substances. I liked connecting with people at a very profoundly open and unguarded level. I liked putting my faith in humans and assuming that nobody wanted to hurt me.

The net result in later adulthood has been a rather extreme set of values, by which I live my life. I've always favoured trust and a kind of blind faith that nobody's going to screw me over. Throughout my twenties and thirties, I've always had a belief that I don't need to bother protecting myself.

It seems as if I made a decision about what's important and what isn't important. Like, I spend very little time deliberating over how to save a few pennies buying a particular food item. I spend very little time doing my taxes and other administrative tasks. I spend very little time on anything which doesn't have a significant purpose. I don't understand why people spend such an extraordinary amount of time doing things which are unpaid, unprofitable and are simply busywork.

I flit between two modes: hyper-focussed, or incredibly bored and distracted. When I'm in the latter mode I feel hyper-receptive to current affairs. I feel as though world events are far more important than any of the daily nonsense in my life. I struggle to reconcile the absurdity of capitalism, rent, money, jobs and other trifling things, with climate change and the billions of people who are hungry. Entire days or weeks disappear and I seem to have done nothing more than become engrossed in the news, angered and saddened.

The circumstances of my adult life have mostly sidelined me, with me helplessly spectating from my comfortable office. However, I'm acutely aware that my position in some very large organisations means that I'm complicit in the suffering that I see. I know exactly how close I've been to the epicentre of seismic world events, which have been catastrophic for humanity.

I suppose that the physical damage that I've wrought, through pollution and war, is hard to connect with my day job, but it's not hard to see that I've been very close to the money, which has greased the wheels of capitalism. The nature of my crimes against humanity are so hard to explain and esoteric that it would be easy for me to let myself off the hook, but if ever there was a case of a global conspiracy, it would be my participation in the brain-drain which is global technology, and its abuse as a mechanism of enslaving everyone.

It seems harmless enough, all this geek stuff, but then I see the dreadful things which the internet has inspired people to do. I read the dreadful things people write and share with each other. I read the dreadful ideologies and manifestos of dreadful people. I see how the internet has connected dreadful people together, amplifying their dreadfulness.

"Guns don't kill people, people do" goes a popular slogan, but it's not true... the people who make guns are just as culpable as the people who use them. The same has got to be said of social media influencers and the platforms they use. What started as a network for academics to share research has been invaded by the masses, and they're not interested in improving their minds: they're vile hateful people who gang together with like-minded dreadful shits.

The internet has become highly efficient at refining both the best and the worst ideas. The most depraved and disgusting things exist and thrive on the internet in frighteningly huge numbers. The internet has turned one person's subconscious bad thought, which lived safely in their brain, into a collective thought which is broadcast across the globe. It's strange saying this as a libertarian left-leaning engineer, but I kinda feel like humanity is not mature enough to have the internet.

I'm very well aware that my sanity has been very questionable during the last 6 years and my grip on reality is probably tenuous at best. I'm very well aware that my mental illness means I must surely think more like a terrorist or some other enemy of society, than I do like a regular person. I read about the world's worst monsters and I check myself for similarities: delusions of grandeur, paranoia and irrational hatred of certain groups of people.

I groan and hold my face in my hands when I remember things I've said and done. I know that I've been through some periods when I was ranting and raving about things. I know that my thoughts were an incoherent jumbled mess at times. I know that during very bad episodes of mental health problems, I've struggled with delusions of grandeur and paranoia. I can remember it all very clearly and I'm very embarrassed by my own behaviour.

Today, I blend it fairly well with ordinary society. My colleagues at the office seem to have readily accepted me as 'normal'. A substantial number of people deal with me and find my behaviour to be normal.

Internally, I find it hard to process everything. My brain mostly screams that I should be doing something - anything - in reaction to the world I observe all around me, but I deliberately subdue my instincts because I've learned that if I keep still and keep my mouth shut, vast wealth floods into my pockets. I'm essentially bribed into knowingly participating in the maintenance of the status quo.

It's quite hard to sit and read the news and not react.

Tags: #economics #politics #bipolar

This is a story about fulfilment...

I enjoy watching feature-length documentaries. I enjoy watching entire series in 20-hour-long Netflix marathons. I spend a great deal of time carefully choosing how I'm going to spend my waking hours. I refuse to watch a movie that's rated less than 7.0 on IMDB. Life's too short for compromises on such things.

On the other hand, I'm a realist. I mostly prefer a stable secure settled life to one where I'm constantly striving to trade up. I've ended up settling for relationships which have seemed at the time to be marginally better than being single. I've ended up putting up with pretty bad relationships, for the sake of security.

My relationships don't tend to end with a smooth parting of ways. Because I'm kind of a stubborn and frustratingly patient person, my relationships end when my mental health stability ends. It seems like only an episode of mental illness is enough for me to make necessary changes to my life - to break up and move on from relationships which are holding me back.

Of course, I admit that I'm 50% of the blame in any bad relationship scenario. I admit that if a relationship is unsuitable and it's going to end eventually, I'm holding back the other person as much as they're holding me back.

My dating process is not very refined.

I usually start from a position of panic. I usually start dating with somewhat of a campaign mentality. Singledom is something I see as a condition to be conquered and I will exhaust all avenues until my single status is subdued. I view the process of going from being single to being in a relationship as a journey which should be as short and direct as possible. I view the dating process as immensely stressful and unpleasant, and something that should last as little time as possible.

As a person with a mood disorder - bipolar - I can leverage my manic energy to achieve goals. Finding a girlfriend is just another goal with a number of prerequisite steps. It's a numbers game.

I'm not very sentimental about dating.

In fact, I'm probably a terrible human being.

There might be some underlying misogyny which drives my thoughts and behaviour. What can be said for certain is that I really don't like feeling insecure. I really don't enjoy any of the flirtation or "do they like me?" uncertainty. I view all of the preamble as thoroughly unpleasant. I want to travel from the uncertain to the certain as quickly as possible.

My life at the moment is pretty simple. Work the job, get the money, spend the money. I earn more than I spend and my job is pretty easy. I have everything I need.

I examine my thoughts regularly for any sign of entitlement or other worrying sentiments. I wonder how I really feel about the opposite sex. I wonder if I'm a bad person. I'm pretty sure I am a bad person, but I'm a product of my environment, and I'm under a lot of pressure. Pressure is a bad thing. Pressure brings out the worst in people.

I look at my friends as a reference point, and there's a mix of friends who would very much like to have a life partner, but haven't yet managed to meet that special somebody - perhaps somewhat involuntarily single - and some who have experienced a string of relationships. Nobody stands out as a fine example of somebody who's got their life perfectly right - every relationship, or absence of relationship, looks to contain a certain amount of unhappiness.

I look at my current situation: I have traded history, art, culture and food for being able to live in a big house and drive to work. I have swapped a city which made me feel at home, the more I wandered around it, for a city which makes me feel disorientated and bewildered, despite it being much smaller.

My life situation - being 39 years old and not having much to show for it - feels deeply shameful and as though I'm a failure, here in this place which places such import on owning a house and a new car. My ephemeral achievements count for nothing in this place of mortgages and car loans. I'm plunged back into the insecurity of my teens, when having a flash car was an obsession, because it seemed to be the route to getting the girl.

I can't tell whether I make things happen in my life, or whether things just fall into my lap. In fact, all of my experiences seem to suggest that things just fall into my lap more often than I make things happen. I always seem to get what I want.

Then I screw everything up.

Boom and bust. This is my life. This is bipolar.

Tags: #relationships #sex #bipolar

This is a story about benchmarks...

There's no way for me to really know how much permanent brain damage I've inflicted upon myself. There's no way to know how much cognitive impairment I've caused. There's no way to know how many brain cells I've killed and how much grey matter I've destroyed. Most of the time I feel fine - no change - but sometimes I have a sudden panic that I've lost a lot of my ability to think.

My concentration span is ruined, but I think that's a pretty endemic problem given the ubiquity of smartphones and social media. The reasons for my brain damage are pretty obviously down to neurotoxicity of chemicals I've put into my body, but it's hard to know what I'd be like if I hadn't lived through that period of drug abuse. I feel dumb, but maybe I'd have been made dumb by other stuff anyway, like the steady stream of mind-numbing entertainment which is available over the internet.

I learned some new things in the past 15 months, so my ability to learn doesn't seem totally ruined. I achieved some difficult projects, so my ability to deliver complex pieces of work also seems to be functioning OK. This is a relief - at least my brain is functioning OK in a professional capacity. The demands seem relatively light on my brain - not too taxing - except for the concentration issues and the boredom. The boredom has always been an issue.

I think about the incidence rate of me saying or doing stupid stuff. Sometimes I worry that I'm saying just as much dumb stuff as ever, but then I look at the frequency of the really bad dumb stuff, and I realise that my spectacular own-goals are becoming less and less frequent. When I screw up, it's not as long and protracted and it doesn't cause as much damage.

Of course, I haven't done the data-collection and analysis, but I'm usually right. My hunches are usually correct, because I do collect data as I go along and I regularly compare periods of time using hard numbers.

Still, I can't quite shake the feeling that I've made myself pretty dumb through my abuse of drugs.

I think it's useful that I don't drink caffeinated beverages. I think that caffeine gives me a kind of false sense of security and overconfidence. I'm sure that caffeine is to blame for tipping me into a manic state.

It's kinda useful that I don't drink alcohol. When I quit drinking once in 2015 it was followed by a bad period of mood instability that ultimately cost me a job, financial security and then ultimately resulted in going back to square one. I'm undecided about the role alcohol has in my life, but at the moment I'm glad to be getting my intoxicants in the form of a measured dose, which is not fattening or otherwise damaging to my physical health.

I feel a little stupefied by medication. I feel quite drugged and intoxicated. I have no idea what I'm going to feel like once I finally manage to wean myself off all the pills.

It's very hard to judge where I'm at.

I look at metrics such as my average earnings. The data is very positive.

I look at metrics like my step count. The data is very negative.

I look at things like the tightness of my belt, and things are very positive again. I look at myself in the mirror when I get out of the shower and I can visibly see the improvement. There's no denying the substantial physical change - I'm losing weight and looking healthier.

I combine everything into a generalised view and I can see that this summer is likely to deliver a continued decline, which the step count data robustly supports, as well as my general perception that I've had a couple of terrible years in a row. However, the future is somewhat in my own hands, so I can choose in advance to make plans for the summer which will be something to look forward to. I can plan to succeed, instead of waiting to fail.

I know that having a girlfriend would make life more bearable, but I also know that it has always provoked instability too. I know that breakups have been the catalyst for the most self-destructive behaviour in my life. I find myself wanting some validation that I've done well. I find myself driven by insecurity a little - wanting to reassure myself that I'm still attractive.

I find that my addiction hasn't been cured. I've had thoughts which have resisted suppression, surfacing from my subconscious. I'm experienced enough to know exactly what part of my brain is plotting. I can see all the warning signs. However, I think I've proven that I'm disciplined enough to resist and get through difficulties. It's been too hard to get here - I'm not going to screw things up.

It's difficult to live with so many episodes of boom and bust. There's so many examples to analyse. I can see all the things that have worked very well, and I can see all the things which have been utterly disastrous. It should be good to have so many experiences to draw upon, but it's actually a bit frustrating. Theoretically, I know all the right moves, but linking them together into a dance is not at all easy.

I endlessly analyse everything. I extrapolate. I predict.

My predictions don't make for comfortable reading. I can see that my improvements are only marginal, while the long-term trend is pretty dreadful. I can see that there's a lot of hard work ahead with very little reward. However, I do know that for every year that I'm well more than I'm sick, my situation will improve and my quality of life is much better. For every year that I work more than I don't, my finances improve, which opens the doors to a world of possibilities. Better finances means better living conditions, which means better state of mind, better self-esteem and a whole load of things that I want become easier to get.

I'm not so stupid that I can't see my mistakes and the damage I've done to myself. I'm not so stupid that I can't take premeditated steps to try to change my own future and improve my ultimate outcome. However, I do admit that my intellect has thus far never been something that's stopped me from doing dumb stuff.

I've retreated into my own mind, so it's very hard for me to ask other people whether they can see me improving or declining. My perceptions have been very badly impaired in the past. It's virtually impossible to know whether I'm on the brink of breakthrough or disaster.

It's kind of a make-or-break time. Either the universe gives me everything I want, at long last, or I really have been banging my head against a brick wall all this time. The next few months will determine whether I'm bouncing back or whether I'm doomed.

I've seen a few documentaries about people recovering from traumatic brain injuries, and I see that they can achieve remarkable recovery, but personality change and some impairment seems to always linger. I suppose these things don't matter, in my world where I've successfully re-invented myself. Nobody much remembers who I was and what I was capable of anyway, so perhaps it's helpful that there's no benchmark for me to get depressed about.

Tags: #addiction

This is a story about post-traumatic stress...

Tuesday was a very bad day. Tuesday was a constant panic attack. Tuesday held nothing for me but relentless anxiety. Tuesday passed very slowly.

Tuesday is past.

Today is Friday.

Today is almost OK.

When I look back on today at some point in the future, I'll probably realise that today was pretty bad, in the grand scheme of things, but compared to Tuesday, today has been a doddle.

It might seem like I was making a lot of fuss about nothing, earlier in the week, but I assure you that I was suffering a very real medical emergency, which would have seen most people hospitalised.

The brain can render us very sick and needy, when it malfunctions. My brain was badly on the blink and even in a hospital I would have been very uncomfortable. Doctors could have eased my suffering with powerful tranquillisers administered intravenously, which would have been the ethically correct thing to do, but on Tuesday I went to the office, which was torturous beyond my capability to describe.

There simply are no words for the things which are at the limit of human survivability. Torture can make us lose our sanity. Trauma can lead to loss of life.

It might look on the face of it as if I'm an ordinary person doing ordinary people stuff, but the fact is that few of us live in perpetually precarious situation. We either fail and fall, or else we stabilise. We tend towards stable outcomes: Stable failure and stable success. I'm relatively unique in having not yet failed sufficiently to block my path from achieving desirable outcomes. Despite drug addiction, alcoholism, near-bankruptcy, homelessness, brushes with the police and debilitating mental health problems, I remain persistently employable and able to access goods and services which are normally denied to a whole swathe of society, to which I belong.

Nobody has realised I'm not supposed to be here.

Nobody has realised that all their vetting procedures and gatekeepers have failed to send me packing, back to the hell hole I crawled out of. Nobody has realised that I'm one of the ones that we're supposed to spurn and turn our backs on. Nobody has realised that I look, sound and smell like I'm one of the "OK" ones, when in fact I'm very much one of the "not OK" ones.

The longer I'm allowed to stay and warm myself by the fire, the stronger I get and the more chance is there is of me achieving stable success.

That's not supposed to happen.

Every societal system has in-built measures to toss people to the wolves. I'm not supposed to be in a big house with a wood fire and a fridge full of food. I'm not supposed to work in a fancy office doing brain-work. I'm not supposed to have any financial security, housing security or prospects. Society would like to see me dead in a ditch.

Society does however worry selfishly a lot about its own sons and daughters. Because I suppose I exude somewhat of a heady mix of intellectual poshness, combined with whatever youthful vulnerability still remains in a 39-year-old man with grey hair at his temples, I guess I confound expectations of what a junkie looks like. I'm not what anybody expects a homeless bankrupt to look like. I do not embody what anybody thinks of when they think of a psych ward patient. I do not look, sound or smell like the thing which I so obviously am, if we scratch beneath the surface.

Of course, my ruse is premeditated. I know that if I keep my mouth shut and my head down, nobody will pay me much notice, and I'll slowly be able to recover from the horrors of my past. I know that if I can go unnoticed and unfettered for long enough then I'll be able to have regained firm footing, to better enable me to flourish.

I'm aware that any period I look back upon as a period when I considered myself to be doing OK, with retrospect has turned out to be a false summit. Everything I've ever achieved has crumbled. It would be foolish to imagine that I'm doing OK at the moment, simply because I'm doing better than I was a week ago, a year ago or 5 years ago.

That's the really terrifying thing for me: 5 years ago I was very much beginning the descent. I attempted to dab the brakes, but then found that the brakes weren't working. I knew that I had to avoid long-term irreversible health damage, criminal convictions, damage to my credit rating, bankruptcy and damage to my professional reputation, but I still managed to find myself looking down the gun barrel of a heap of problems that were going to see me destitute on the street.

I'm not sure how I've managed to face down the threats to my life and livelihood and emerge from the thicket relatively unscathed, at least on the surface. I suppose it's all down to a handful of people who've conspired to assist me, in ways which run contrary to the conduct we consider ordinary and normal. A handful of people have taken risks with their lives and their money, to see me live with continued opportunities, as opposed to lasting and disastrous consequences.

I suppose in the popular parlance, I've been "enabled".

I hate that negative phraseology, to stigmatise those who help addicts and alcoholics. I hate the idea that an act of kindness is actually something bad; something foolish. I find the whole concept detestable.

I feel bad about how unwell I have been feeling this week, which should have been a celebration of how much the help I've received was a worthwhile investment. I feel bad about feeling bad.

The reality is that through the awful panic attacks, I still have a lovely house and a well-paid job, so I just need to stick to the plan - "home stretch" as my guardian angel said to me today.

My life follows a very nonlinear path. Of course I remember how bitterly I complained about living out of a suitcase, how pleased I was with a new relationship, how much invested I was in my Christmas and New Year holiday, how quickly my opinion changed about the relationship and how anxious I was to secure my housing situation. Of course I remember the highs and lows. I remember the devastation and the jubilation at many points along the way, with crystal clarity.

This is my very weird life. Suicidal depressed anxious thoughts, then white sand beaches and blue skies, luxuriating on holiday, then darkest blackness, then roaring log fires in a large period home, then more blackness. Why should this not be the case? Why would we expect any different?

Things were dire earlier in the week. Things are dire now, but dramatically less so.

Tags: #anxiety #depression #bipolar #moving #stress

This is a story about hurting myself...

There's an insufferable noise inside my head. It's a bit like a hissing, whining, wailing, screaming roar. I can't actually hear anything per se, but there's something that's far noisier than everything else that I can perceive. The world seems very loud and invasive to me - every tiny sound is amplified to neve-jolting volume - but the noise inside my head is louder, even though it's silent.

I know this doesn't make any sense.

At its most basic, the noise is like the shrill notes of a horror movie, which indicate that something bad is about to happen. The noise is deeply unsettling; disturbing. I feel on edge.

Then, after a while, because the noise doesn't go away, it seems to become more urgent: Pain, injury and death feel as if they're about to happen. I'm in a constant state of 'flinching' from the anticipated blows to my body.

The feared pain never seems to quite arrive, but instead there's a dread that this feeling will never go away. This is my life now: Living in a constant state of anxiety; living with perpetual sustained threat.

How can I go on living like this?

How can I live with this noise?

There is no noise.

My rational brain knows that there isn't any noise. My rational brain knows there isn't any threat. My rational brain knows there isn't anything to be anxious about.

Further, I know why this anxiety is so bad: Because I've been through an incredibly stressful life event, and I'm not using my usual coping mechanisms, such as drinking alcohol.

In fact, I'm effectively putting myself through alcohol detox, tranquilliser withdrawal and sleeping tablet comedown, whilst simultaneously doing one of the most stressful things that ever happens in our lives - moving house.

If I don't learn to cope without alcohol then it will destroy my health and send me to an early grave. If I don't learn to cope without tablets, then I will be forever trapped by addiction.

The unfortunate short-term consequence is very unpleasant to live through.

In fact, it's so unpleasant I've started to think I would very much like to not be alive.

That's the noise.

The noise continuously tells me to hurt myself; to end the pain.

If there was a sound that existed which told you you're better off dead, then it rings at full volume in my ears. Its sustained pitch and relentlessness tells my brain it's never going to go away, things are never going to get better, and this unbearableness is a permanent state of affairs... and the only escape is death.

I've been through enough anxiety and depression to know that things don't get any worse than this, and eventually things do get better. I have unfortunately experienced enough prolonged panic attacks to know that this is just another one, and although seemingly interminable, it will eventually pass.

Given a little more freedom - a few more options - I would stay at home in bed, and sleep. To make matters worse, however, I feel compelled to be in the office, which is just about the worst place in the world, because I have to pretend like everything's OK when it's not. I have to sit in my office chair for 7 or 8 hours, when every single bit of my body and mind screams to be doing something distracting or relaxing.

Driving in heavy traffic is a mild improvement over sitting at my desk. In fact, sticking sharp objects into myself would be a mild improvement over sitting at my desk. Jumping out of my office window and falling to my death seems like a vast improvement over sitting at my desk.

It's a pretty disturbing state of affairs and I'd be yelling for help, except that I know there's no comfort that anyone's going to offer me. Nobody's going to pay for me to be sick in bed. Nobody has anything they can say or do to ease the situation. I'm just going to have to suck it up.

It's not like I've run out of pills or the shops have run out of alcohol. It's not like I couldn't go into debt while I get better. There are temporary solutions, but they all delay the inevitable.

I suppose I'm ripping off the sticking plaster, as opposed to peeling it off gently little by little. This is a short sharp shock. This is the fastest route between two points, but also the rockiest road, with thorny bushes, biting insects, choking dust and a whole host of other things that don't mean it's necessarily the easiest path.

Now... I need to go and find distractions until it's time for bed. Today has been an incredibly long day, and I wish I hadn't woken up.

Tags: #anxiety #depression #suicide #stress #moving

This is a story about feeling overwhelmed...

Four days is not enough time to rebuild an entire life from scratch. Four days is not enough time to get all the little pieces that make a complete life into place. Four days is not enough time to cope with the stress and upheaval and not have a nervous breakdown.

In my kitchen sits a washer/dryer which needs unpacking, plumbing in and sliding into place. It's heavy. I'm not sure if I can move it on my own without scratching the kitchen tiles. I don't feel well enough to tackle this job today.

Also in my kitchen sits an enormous pile of cardboard, which needs to be taken to the recycling centre. There's too much here to leave outside my house, getting soggy and wet in the rain. I don't even know on which days the bins get collected anyway.

In my hallway sits a load of Ikea flat-pack furniture which requires assembly. In my haste to order the basic things that I need, I chose a chest-of-drawers that does not fit in my bedroom very well, so this will have to be returned. There's nothing here that I urgently need... I just wanted to try and get this part of the moving in process done and dusted, but I rushed it and screwed up. Now I have created more problems for myself.

In my dining room are the assorted boxes and bags in which I moved my possessions I've managed to hang onto over the years. I've rummaged in the boxes to pull things out which I needed - like saucepans, plates etc. - and otherwise just left this room as a total bombsite, because I don't have any furniture in which to store any of my things yet.

In the space of four days, I've had the heating fixed, the electrics fixed and the telephone and broadband installed. I've had two Ikea deliveries, two deliveries of white goods for the kitchen, plus some other visits that I've probably forgotten in the melee.

Theoretically, I go back to the office tomorrow and act as if nothing has happened. Tomorrow I have to carry on as if everything is normal and under control in my life.

Things do not feel under control.

I want to hide under the duvet for a month.

But I can't afford the time off.

Theoretically now I can begin to find a bit of rhythm and routine. As soon as my washing machine is hooked up, I'm pretty much self-sufficient - I'll be able to cook, clean, sleep and somewhat relax. I have a comfy couch and a comfy bed. I have figured out how to operate the central heating and I've had a couple of log fires.

I am not at all happy about going back to work. I feel very unwell. I feel certain that I'm going to have a panic attack and have to leave, shortly after arriving at the office.

My stable settled secure little world has been rocked by mighty forces and I'm quite disturbed by it. I feel sick.

My feelings are perhaps illustrative of why people don't move house very often and prefer to stay in their comfort zone. It might sound like an enviable ambitious exciting adventure, but the reality has been that most of the time I've felt extremely stressed and anxious.

I guess I hoped to have two settled sorted things in my life - my home and my job - which would allow other things to fall into place, like my mental health, my social life, my physical health and my love life. In reality, I have nothing settled and secure at the moment, but perhaps going back to the office tomorrow will instantly restore a bit of normality to my shattered life.

There are many enviable things about my situation at the moment, so please don't think I'm churlishly complaining... I just bit off a lot more than I could chew.

Tags: #moving #house

This is a story about mechanical failure...

How I expected to feel - physically - and how I am actually feeling, are out of alignment. There is considerable discrepancy between my anticipated relief from fatigue and discomfort, and the aches and pains which are unexpectedly and unpleasantly asserting their presence.

I suppose my mind has erased the memories of the suffering I went through repeatedly as a drug addict. I know that the comedowns and withdrawals must have been terrible, but my memories are very patchy. Perhaps mercifully, I can't recall that pain.

My body feels poisoned; toxic. I suffered plenty of hospitalisations when my organs were struggling and failing. There is a very real and tangible muscle memory that tells me that this unpleasant experience is not a new one. Indeed, I can rationalise that I've survived countless periods of immense dehydration, starvation, insomnia and physical exertion, beyond that which anyone of sound body and mind could and would withstand. I know that my addiction drove me to repeat the same stupidity countless times, always with more-or-less identically awful outcomes.

To my mind, I've done nothing to deserve this physical suffering, knowing what dreadful things I've put my body through in the past. Instead of being cautious and avoiding that pain, perhaps I came to regard myself as indestructible. Certainly, I had gathered a lot of evidence that my body could take a great deal of punishment and seemingly suffer no long-term consequence. Perhaps I have learned to take my body's resilience for granted.

I don't feel like I did anything particularly excessive, but my body tells me otherwise: My muscles and joints all give me a great deal of pain and I'm extremely fatigued.

It's distressing, but I have to accept the evidence as I see it. My body is telling me that I'm very sick. My body is telling me that I need to rest and recuperate.

I know that to proceed as if my body weren't signalling its distress, has led in the past to near-catastrophic medical emergencies, and lengthy hospital stays. It's only by the skill and hard work of the medical teams that so much of me has been preserved. I was under the impression that I was not in too bad shape; that my organs were functioning OK and that I'd somehow dodged a bullet.

Perhaps the doctors were just being kind - sparing my feelings. Perhaps it was kinder to tell me I'd been lucky and that I should take better care in future, as opposed to telling me that I'd inflicted irreparable damage upon myself. I heard what I wanted to hear anyway: I thought I got away with it again and again.

It was more or less 2 years ago that I realised that I had to pump the brakes.

The accomplishment of going cold turkey and completely rebuilding my life, is not something I've achieved just once. In fact, it's remarkable that from the supposed apogee of my life - a wealthy homeowner with a wife - I should have had multiple periods of homelessness and almost total destitution, at the hands mainly of drug addiction intermingled with mental health problems in the most destructive way; and also multiple periods of repairing the damage and attempting to rebuild my shattered existence, which have been successful but not for very long.

Each attempt to rebuild my life consumes considerably more time and energy than the last, and I suppose I never accounted for the wear and tear that the boom and bust existence must have been having on my poor broken body.

I'm disoriented. A breakup and moving house coincided with a very bad episode of mania, which resulted in a brief period when my body was very harshly abused. I seem to have survived, but I haven't been truly tested yet: I need to go back to work and pick up where I left on. There's a lot of hard work left ahead of me, and I will need to work with consistency and stability, and continue to attempt to be very conservative and cautious in the workplace.

I don't know whether I'm winning, or actually I already lost but I just didn't realise it yet: I'm waiting for overwhelming evidence that my fate is sealed, and that my body is giving up on me.

That's honestly how I feel right now - that my body has been pushed too hard for too long, and there's not much life left in me. I would not be in the least bit surprised to be told that some vital organ is failing and my days are numbered.

It's a little frustrating, because I made some health decisions that have not been easy to follow-through with, such as stopping drinking and eating more healthily, but I accept that it's probably too little too late.

I'm probably being a little melodramatic, but I do have an annoying habit of knowing the difference between a serious medical emergency and what is merely severely life-threatening but survivable outside of a clinical environment.

A couple of concerned friends are encouraging me to get blood tests done etc. but I can't see it changing the outcome much. If I've done myself in, then I've done myself in and I'm done for, and that's that.

I think I'm more optimistic than I'm perhaps letting on. I can imagine that I'll go easy on myself for a couple of weeks - ease my feet back under the desk - and then I'll start feeling a lot better. It does seem understandable that a very short sharp shock would cause me considerable pain and suffering. Perhaps I've just been over-optimistic about how quickly I could recover.

I plan on working from home tomorrow, which is part of my strategy of going easy on myself. I still literally bear the scars of the recent ordeal on my face and hands, so I'm not being entirely hyperbolic.

I think if my body does pack up, that would be an entirely fitting end, and I would probably have a good chuckle about the irony of it, given my body's refusal to give up the ghost at any point when I have been acting far less sensibly.

It's funny how people perceive me. They ask me whether I'm going to go jogging or cycling in the park, when in fact climbing a flight of stairs is an unpleasant ordeal at the moment. It's hard to comprehend what I've been through - many many lifetimes worth of boom and bust, replete with the agony and the suffering. You can't see that stuff from the outside - all you can see is a 39 year old body that's not in particularly terrible shape, on first inspection. I dread to think what my internal organs must look like, but I've got a lot of scars on my skin, which each tell a pretty gruesome story.

I'm going to look pretty silly if I'm full of the joys of spring and zooming around like a young man in a few weeks, full of energy, but anyhoo... this is the way I write; this is what I do.

Tags: #health #addiction