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Anatomy of an Epidemic

5 min read

This is a story about the rise and rise of mental illness...

Dib Dib Dib

I used to be a Sea Scout. The motto of the Scouts is "Be Prepared".

When I suspected that I was becoming mentally unwell, I read every book, website, academic paper and journal that I could find that I felt related to my mental health and its potential treatment. I educated myself.

I'm an educated patient. Because I'm an educated patient, I avoided being medicated with a Selective Serotonin Re-uptake Inhibitor (SSRI) which would have caused greater mood instability than I was already suffering with.

SSRIs are also linked to emotional blunting and the destruction of the sex lives and relationships of many couples. My relationship was already on the rocks, hence going to the doctor to see if there were some magic beans or a silver bullet, that could cure my ills.

Fundamentally, I believe that some mental health issues are risk not destiny. There don't seem to be any genes that are clearly faulty in individuals who suffer from Unipolar Depression and Bipolar Disorder. They are complex spectrum disorders. Some people are really dysfunctional when they are unwell, and others find ways of coping, sometimes to the point that people around them don't even know they are suffering.

However, out of desperation, I have tried the following medications, prescribed to me:

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Mirtazepine

This was well tolerated (no nasty side effects that made me want to stop taking it). It certainly seemed to reduce my stress levels and get some sleep. I think I might have rebounded though and started to go hypomanic fairly quickly.

Quetiapine

Unless you like weight gain, constipation, dry mouth and feeling like a drugged zombie for the few hours that you are awake, before your next dose knocks you out and you start the whole miserable 24 hour cycle all over again... I can't say this medication gives much quality of life beyond dribbling at daytime TV.

Aripiprazole

This is useful to see if your head is held straight. If your head is leaning to the left, then you will dribble out of the left side of your mouth. If your head is leaning to the right, then you will dribble out of the right side of your mouth. If you are holding your head perfectly straight, then you will dribble out of both sides of your mouth.

Lithium

This is hardcore. You need to have regular blood tests. It will shorten your life. Avoid if you can tolerate other meds or manage without.

Sodium Valproate & Depakote

Do you plan on working again? In an office? 9 to 5? Not really compatible with going back to work full time. If you're not completely manic (psychotic) then best avoided.

Lamotrogine

Just takes so damn long to get up to a therapeutic dose, you go through another hypomanic episode, decide that you're fine, and then stop taking your medication anyway. It's pretty subtle. Apparently it improves REM sleep. I dream a lot anyway. My sleep quality is more a function of good sleep hygiene.

Olanzapine

Fast acting. Good to calm you down if you're having an unmanageable moment. Makes you sleepy though... couldn't really work 9 to 5 on it.

Bupropion

Fast acting. Incredible antidepressant. It did give me a panic attack once though. Also stokes my hypomania pretty bad. Although it's a nicotinergic agonist, it actually shares many characteristics of stimulants like caffeine and amphetamine. Makes you pretty horny. Helps you quit smoking too (I don't smoke though).

Diazepam

Mother's little helpers (Valium). This powerful long-acting GABA agonist is an amazing anxiolytic. You could literally stand in the middle of a highway and not give a sh1t about the cars whizzing past you at 70mph. Super addictive. Horrible to taper off.

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Fundamentally, do any of these medications work? Well, I can vouch for Bupropion, Olanzapine, Mirtazepine and Diazepam for their short term efficacy. However, the body soon gets used to the effects and builds tolerance, which means you forever need to increase the dose to get the same therapeutic effect... welcome to homestasis, b1tches!

In my anecdotal experience, it's better to tough out the storm and not mess with the ridiculously complex organ that is a brain. When the psychopharmacologists imagined how Prozac (Fluoxetine) was having its antidepressant effect they expected to see higher serotonin levels in spinal fluids. They told the world that depressed people had "low serotonin". They just guessed and they guessed wrong.

Type I Bi-Polar Disorder was also known as Manic Depression. This is a serious illness that requires serious treatment. It's not my place to comment on whether medication plays a part in that. I'm no expert on Type I BPD.

Type II Bipolar means that you have hypomanic episodes, not fully blown mania. That means risk taking, spending money, hypersexuality, racing thoughts and pressured speech... amongst other symptoms, such as reduced need for sleep & food, and intolerance of slow-witted fools.

I'm Type II. I think it's a very important distinction. If I can control my mood disorder with good diet, good routine, good sleep and abstinence from alcohol & drugs (including prescribed drugs) then my brain has the best possible chance of finding homeostasis.

If I can remove unnecessary stress in my life, caused by complete ass-hats, and I'm empowered to just get the f**k on with my life, then my symptoms will abate. It's as simple as that.

What's the White Stuff?

This was the first time that Frankie had ever seen snow. His brain adapted to the change in environment (December 2010)

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Compassion Fatigue

6 min read

This is a story about manipulation...

Art Imitates Life

My ex told her side of the story so much that our friends got sick of it. She then moved onto my parents. Sadly, my father was taken in by it.

Damsel in distress? I really think not. She spent a huge amount of time cultivating self-pity and a warped story that attempted to completely exonerate herself of any responsibility for our destructive relationship. I went quiet. I was slowly dying. I was self-harming and suicidal. Meanwhile, she vociferously attempted to turn friends and family against me. It didn't really work, as most people are mature enough to listen to both sides of the story before judging.

I certainly admit to my equal responsibility in an unhealthy co-dependent relationship based on hate sex. But I was the 'weaker' in this relationship, and I was beaten into submission. I think my friend Wiktor accurately summed up our marriage with the following image.

I'm on the little horse

I should have walked away. I tried to walk away very early in our relationship, when it became clear to me that she wasn't ready for a committed relationship. I tried breaking it off loads of occasions, but she kept begging forgiveness for things like cheating, and I kept forgiving her. Fundamentally, I loved her and she didn't seem to love me.

That was a life lesson I couldn't really seem to learn, because she isolated me from my friends, from the activities that I loved and even from my GP and my family. The conflict of interest was appalling. I literally ended up with almost nobody fighting my corner. She cultivated such a convincing 'woe is me' story of her own suffering.

I was suffering in silence.

However, I'm a very forgiving person. She vindictively destroyed me, and I forgive her.

I'm struggling to forgive my parents. They should remember that it was me who eventually reached out to both sets of parents and got them to negotiate my release from captivity, and allow my life to be spared. I found her parents to be extremely supportive, understanding and kind. It's really upsetting how my own were so twisted by her manipulative and one-sided bullsh1t.

I also have a problem with the way that my GP acted. She took my wife on as a patient - which I believe was an unprofessional conflict of interest - and started to see my ex on a very regular basis, and began to become compromised, sympathetic to the patient who she saw more and more of. I honestly believe that my GP was convinced by my ex to act in a manner that was by no means in my best interests.

I have evidence for this. When it became clear that I had few human allies, I turned to technology. I installed a keylogger on my spare laptop, which I left in my house. When my ex eventually subdued me into being taken away by my gullible and manipulated idiot father, I was able to see what was typed on the keyboard of that laptop.

My horrible ex immediately joined a dating website and started messaging men. Supposedly she justified conspiring with my father and GP for my safety, health and wellbeing. In actual fact she showed her true colours straight away. The front door had barely closed behind me.

This 'butter wouldn't melt in my mouth' fake image of a person had her mask torn down. At first, I didn't even resort to looking at the keyboard transcripts. I just had great intuition that something was wrong. Naturally she played the "he's just paranoid... mentally ill" card. She bare-faced lied to the Crisis Teams in Bournemouth and Oxford when confronted by them about my concerns that she was not loving, supportive and faithful.

When I showed her the evidence, she backtracked with remarkable speed and started acting with some human decency. Foolishly, I forgave quickly. I married her. In sickness and in health and all that. I bought in to all that love and marriage vows crap. Strangely, I still do.

Darkness is Coming

I don't think the end justifies the means. I wish I hadn't had to resort to snooping on the use of my own laptop (which is completely legal... it was my property, running my login account) in order to retain my own sanity. Can't people just be honest? Moral?

One of the moments that I clung to when my character was being assassinated, was when my ex recounted a tale of her trying to elicit yet more sympathy from our friends (I was not present, naturally). She was outraged that they were so dismissive of yet another here we go again tear-jerking tale of woe is me and pity party for the biggest martyr I have ever had the misfortune to meet, let alone date and foolishly marry.

Yes, fundamentally, this is a story of me growing up. This is a story of me finding out that relationships can be abusive, with cheating, lies, subterfuge and people are even prepared to take a life to perpetuate their disgustingly twisted image of self-righteous perfection. Whiter than white. Ha! I think not.

I accept now that I played my part in this. I should have taken responsibility for the safety of my own life much earlier, but so much of my support network was perverted by this manipulative character. Many of my friends went quiet, reserving judgement. They didn't reject me as a friend, but our relationship went cold.

I really hope she's OK. I don't think she's a bad person. I actually don't think anybody is 'bad' per se, Instead, we are all animals that respond to stimuli, to our environment, to factors outside of our control. I tried my best to make it work - that's what my parents taught me to do - but I didn't know how to walk away.

I didn't know how to walk away and it nearly killed me.

I got to keep our cat, but nothing else. My 'half' has been spent on putting this heartbroken chap back together again. I'm off to hospital again now. Hopefully I'm going to have an echocardiogram soon and see how bad the damage is.

Victim of Divorce

This poor animal was the victim of a horrible divorce. Frankie the cat didn't have a great time either (October 2014)

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Recovery: Hospital vs. Nature

6 min read

This is a story about observation...

Home Sweet Home

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

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

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

Your GP Cares

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

Wrong Way

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

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

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

Door to Narnia

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

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

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

So Natural

Nice, isn't it?

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

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

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

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

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

Look Mum No Hands

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

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

God Bless The NHS

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

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Will You Sleep Out With Us?

6 min read

This is a story about bridge burning...

Sleep Out Centre Point

How many of us are afraid to declare the causes we support, for fear of impacting our professional reputation. Does supporting mental health and homelessness charities make me look somehow less corporate, and consequently, make me less employable? Does the fact that I have even experienced these things first hand make me unemployable?

In fact, if my employment options became coincidentally curtailled at the same time as I have started blogging, despite a successful full-time career of some 18+ years, it would not take a brain of Britain to recognise that this must be because of institutional discrimination, which is probably illegal.

There is absolutely nothing to suggest that I am any less able than any other candidate in the job market, and in fact, my history makes me more of a 'catch' to a potential employer: the man who has nothing has nothing to lose. Plus I have been 'stress tested' to the limit and beyond. I know exactly where those limits are, and I can empathise with my colleagues when they are under stress and pressure.

When 'sh1t goes bad' who do you really want in the bunker with you? People who have never been in that kind of situation before, and are therefore an unknown quantity, or people who know their personal breaking point.

I've been in some hair-raising situations, both through choice and by accident. Challenging yourself, and being challenged by things that are out of your control, teaches you how to handle stressful situations. A certain amount of training, discipline and drills will prepare your muscle memory to pull the "parachute rip-cord" to use a layman's term. But how do you deal with the long plane journey up to 13,000ft? How do you mentally prepare to throw yourself out of a perfectly servicable aeroplane?

Worse still, how do you prepare yourself for people yelling at you and telling you you're an idiot? People do this because they are scared and have lost faith in your leadership. People believe that pain and fear can be magically taken away by those in positions of authority.

Knife Edge

Losing authority can be dangerous, especially if you are the leader in a dangerous place. Generally, most people don't know what to expect when they are entering an extreme environment: the mountains and the sea (the poles and the deserts too, but I don't know much about those places, yet).

Let me tell you about crampons. These are a spiked device that attach to your feet, so that you can move safely on ice. I always shake my head in disbelief at people who are blunting an expensive pair of crapons on rocks. If they do encounter any ice, they will certainly not be effective if they are not sharp.

Let me tell you about ropes. These long flexible cords are no use at arresting a fall unless they are attached to something solid. In order to attach a rope to a mountain, you will need a whole load of other heavy metal gear that will need to be secured to the rocks, and the rocks themselves will need to be large and heavy and generally immovable.

So, if you see climbing parties with crampons and ropes, moving on snow - in an area with no glaciers - then these things are only there as a confidence trick. The fact is, that there is very little stopping you from plunging to your death, even with ropes & crampons.

I personally, don't like to be weighed down with unnecessary gear. It's not about not being prepared. It's about recognising that I'd rather have saved the energy, so that I can use that surplus reserve of energy in order to scout ahead of my group for problems, or fetch assistance if necessary. The main thing though, is to stay within personal limits as a leader, so that when people are tired and cranky, and scared and their feet hurt and they are cold and hungry, you don't mind giving them your personal stash of candy bars, you don't mind them calling you names, you don't mind them questioning your leadership skills.

The main thing that qualifies a person as a leader is how they cope under crossfire.

The more I lead people in stressful situations, the more I learn about my personal weaknesses, the more I learn about my personal limits. Nobody should underestimate just how hard I had to be pushed before I cracked, but nobody should consider themselves such a 'rock' or a hard nut that will never crack under pressure.

My best friend and climbing partner sustained life-changing injuries in a 'freak' accident when the chockstone he was abseilling from shattered. I have only just started to deal with feelings surrounding this, so I'm not going to write any more about this today, but my thoughts always turn to him and how I have shyed away from post-accident involvement, as it was such a terrifying reminder of our mortality and fragility. I knew I couldn't do anything to turn back the hands of time. Accidents happen, and the first thing you learn in the mountains is that you can't control all the variables. It's still something that victims, survivors and those connected to them, have to come to terms with though.

Maltease

Ropes have their place in sport rock climbing. Modern equipment is so good - the Petzl Grigri in this case - I don't even have to hold the rope to be honest, but old habits literally die hard (October 2012)

Addendum for climbing nerd trolls: no, I didn't leave the rope all over the place like that. I was asked to step in and belay only seconds (sic.) before the photo was taken. And, no, I'm not even standing on the rope even though it looks like I might be from the low-resolution image. Anybody who has climbed multi-pitch with me will tell you my ropework is above your nitpicking.

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Corporations Will Use & Abuse You

9 min read

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

It's a TRICK!

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

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

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

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

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

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

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

"Have you heard of Fluoxetine"

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

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

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

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

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

How hard can it be?

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

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

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

Mega shed

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

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

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

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

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

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

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

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

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

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

Alive on Hampstead Heath

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

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Nick in Red

5 min read

This is a story of a red flag that gets raised before disaster strikes...

Red Rover Red Rover

Why does a person sink? Why do they get swamped? Why do they collapse inwards, under the gravity of their own infinite stress, sadness, blackness? Why do they implode in a spectacular supernova? Can we ever understand and relate to depression so deep that it would drive a person to take their own life? Can we make a difference? Can we empathise, help and ever rehabilitate somebody who has the clinical diagnosis of depression, without pills and a padded cell?

From my personal point of view, I have always felt that making a mistake leaves a dark stain on me, a black mark. People seem to have a very long memory for the mistakes I have made, and enjoy bringing up things that embarrass and upset me. In my career, the people who I need to impress and to promote me are always very keen to know about my weaknesses and flaws, seemingly as an excuse that I should "know my place" and not challenge the status quo.

The world has organised itself into a Pyramid Scheme, where there are a handful of unbelievably filthy rich oligarchs, sheikhs, kings, queens and emperors and other scum, who sit in their palaces, while their people starve in squalor. The trickle-down effect is a lie, spun by the courtiers, the sycophants in the entourage of the super-rich.

This wealth-worship has created a totally fake society, where newspapers, TV and the media, exists only to tell the proletariat that they are 'special' and 'unique' while at the same time, getting them to buy mass produced products from factories in China.

The best example of which is Apple and Beats by Dr Dre. There is a standard line amongst the creative community, that only a MacBook will suffice, as a the workhorse for the output of recording artists, graphic designers, web developers and startup founders. This is backed with the celebrity endorsement of footballers, who are seen arriving at matches wearing their 'individual' choice of a pair of overpriced Beats headphones.

I have always said that it's the software packages that are important, not the Operating System (OS) or the hardware, provided that both of those things are adequately up to specification to run the software. It's true that Apple stuff "just works" but anybody who foolishly accepts a new software release too early also finds that Apple do a lot of their testing by relying totally on the loyalty of their Fanboys.

I have mixed feelings about the largest consumer electronics company in the world. I think they are more anticompetitive than Microsoft ever was in their heyday. When IBM's BIOS (Basic Input-Output System) was reverse engineered, which started the boom of IBM Personal Computer Compatible grey clones. This, along with Microsoft Disk Operating System (DOS) launched the home computer from the realm of labcoat wearing boffins, into the ubiquitous Internet-of-Things existance, where my car and my washing machine have an Application Programming Interface (API). This has been Bill Gates' vision for as long as I can remember.

I have always been fairly platform agnostic. I tend to go with whatever works, and ignore the marketing rhetoric and hyperbole.

That takes a lot of work and bravery, because at some point, people start to have vested interests. There are billions of dollars at stake in the tech industry. Apple majicked (sic.) a billion dollar App industry into existence more or less overnight. Who would have thought that paying 59 British pence for stupid little time-filling games (the developer used to keep 36 pence of that) would be so lucrative?

It also seems to take a lot of bravery to stick around and re-invest your cash in something worthy or pay the tax, because Apple seem to have precipitated a brain drain in the developed nations. I know far too many wealthy people who are hiding in tax havens, due to fear and greed. Why run away to South East Asia, taking your cash pile with you? What was wrong with paying tax or investing in somebody or something? What are you afraid of?

Perhaps I have little appreciation of risk? What's the worst that's going to happen to me though? The Conservative government will support me as a successful entrepreneur who invests in people, ideas, research & development. The Labour government will support me as a socialist who pays his taxes and does not try to evade them, recognising that the National Health Service, high quality schools and colleges, roads, libraries, street lighting, policing, fire service, trash collection, civic ameneties, community events, social services and the broad and rich spectrum of life in the United Kingdom is truly a model that every nation should aspire to emulate.

Look Mum No Hands

Feel the fear and do it anyway (Y2K)

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An Ode to the Nurses

4 min read

This is a story of the people who see you at your most tired, afraid, and in the most pain and discomfort...

Ooops

I owe the hard-working, caring and dedicated nurses of the National Health Service my life, along with the Radiographers, Cardiologists, Phlebotomists, Psychiatrists, Social Workers, Psychologists, Nutritionists, Physiotherapists, Pathologists, Porters, Caterers, Cleaners and of course the Doctors, Consultants, Surgeons and Anaesthetists. It would be ridiculously selfish of me to not continue living after all the hard work that a huge team of people made in putting Humpty Dumpty back together again.

I always seem to expect that things will heal overnight, and indeed I rushed everything after a fairly major leg injury. After the accident, which luckily seemed to avoid any major blood vessels, despite severing a load of muscle, tendon and nerve. I hastily cobbled together a 'field dressing' with sanitary towels and a dressing gown cord, and wanted to make my own way home, but paramedics insisted on checking me out. It was them who discovered I couldn't actually raise my foot anymore, due to a severed tendon, and had lost feeling on the top of it, due to a severed nerve.

The operation took a long time and must have cost a lot of money. I have paid a lot of tax and National Insurance during my career, but that does not make me entitled. I need to repay my debt to society somehow. I haven't thought how I'm going to do that just yet, but I do think about it. I do have a list I'm working through, although I'm obviously never that mindful of the "one step at a time" mantra... I tend to sprint everywhere.

Running before I can walk, running with scissors (not how it happened, just a metaphor) and all the other things my Mum warned me not to do never ended in tears because I was always told to MTFU (Man The F**k  Up). A kind friend told me the other day that excess mucous and swollen mucous membrane might indicate a backlog of tears. I guess my tear ducts are fairly full.

But let's keep this about those in the caring professions. These people have to mop up your blood, pooh, pus, vomit and mucus, while you wince and generally try and hide your discomfort and be as polite and courteous as you can under the circumstances.

We should pay people in the caring professions a living wage, and more to reflect the important role they have in society.

I, for my part, am going to ensure that I pay full income taxes on my earnings when I am inside IR35, which is anytime that I have a regular place of work and commute to the same office on a regular basis... like now.

Coming from a startup and small business culture, I have always re-invested any profits into Research & Development projects in my time between contracts, but I think I need to just get a regular hobby... probably a safe one, given my accident prone nature!

I also think that a socially responsible proportion of my disposable income that I have should go as Gift Aid to Macmillan Cancer Support, because Cancer is a disease which blights all our lives, and the nurses in Palliative Geriatric care are really doing an extremely tough job and should receive all the support that we can possibly give them, as highly qualified professionals in a job that demands them to be kind and caring, loving and supportive, dealing with the inevitable painful loss of loved family members.

This by no means absolves me of my social conscience, but it's a public declaration of starting as I mean to go on. Some might see this as pathetic hypocrisy. Fine. Send me a postcard with a better idea.

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My Name's Nick and I'm a Workaholic

9 min read

This is a story of a growing problem in people's lives....

Nick in Pink

I can't get no sleep. That's a double negative. What I mean is, that I have a problem with insomnia, because I stare at backlit devices around-the-clock. The problem with backlit devices is that they output light that hits your retina, telling your body "it's daytime, get up".

When I'm awake, which is most of the time, I'm either at work on my laptop or working at a double or even triple monitor, looking at my phone, or looking at a TV, tablet or some other backlit device. I had even taken to reading books on my phone, which means that my body had absolutely no light-based clue as to what the f**king time is.

Unsurprisingly, this messes with your circadian rhythm, even if you eat your meals at regular intervals, and attempt to get in and out of bed at normal times. I generally keep at least 3 electronic devices within grabbing distance of my bed anyway (phone, laptop, smartwatch) and often times I fall asleep with either my laptop on my lap, or still wearing my smartwatch (which helpfully vibrates, so I can briefly wake up to check any alerts).

Photographing stuff on my phone and uploading it to Facebook, Twitter or Instagram, posting check-ins and status updates, and making snide or sarcastic Tweets - from 4 different accounts, at least - has grown and grown, leading to a kind of live-blogging of my life.

To say that I was obsessed with social media would be a massive understatement. It's actually an addiction that is affecting my health. That's the generally recognised definition of an addiction: when something you enjoy is negatively affecting your life, but you are struggling or unable to reduce your dependence on the thing you are addicted to (water, oxygen and sugar don't qualify, you see, because you die without those things).

Shaun the Sleep

The inscription around the woolly head of our sheepie friend reads: we are such stuff as dreams are made on; and our little life is rounded with a sleep. Shaun would be well advised to make sure he gets enough sleep, as our immune systems can get dangerously low if we aren't giving our brains and bodies the rest they were designed to have.

Modern life gives us surprisingly few environmental cues as to what we should be doing. Here in London we have artificial lighting 24 hours a day, and there is barely a wall that doesn't have some kind of flat screen attached to it now. We really are a City that doesn't sleep. When all the bankers, lawyers and accountants go home in their taxis, just before midnight, an army of cleaners and trash collectors sweep in behind, to collect all those discarded coffee cups and sandwich wrappers.

Most offices are now 24 x 7 x 364 (you get Christmas Day off - this is the only real Bank Holiday) which have cost-saving motion sensing lighting, so you only have to glance up at one of the tall office blocks at an unusual hour, to get a rough idea of just how many people are working on some unrealistic deadline for their client.

Delivering a deal, getting the Thank Yous from your bosses and clients. High-fiving your colleagues, and adding another tombstone to your impressive collection of deals or projects that you have delivered... that's addictive too. You get a little dopamine hit every time one of those things happens, and before you know it, you find yourself going into the office 7 days a week and answering the phone to your bosses whenever they call.

In a global business, we operate a follow-the-sun model, where Europe hands over to the Americas, and then onto Australasia, and then Asia-Pacific, and then Middle East and North Africa and all too soon it's dawn again. Where those business centres are unable to fully support themselves, some poor sod carries their phone and/or BlackBerry everywhere anytime. We used to call it Crackberry when we first got our BlackBerries, and you found yourself checking email at 4am, even when you officially weren't on call.

We can't actually help ourselves anymore. Whenever we hear that bleep and see that message notification light blinking, we have been habituated into reaching out and grabbing it, no matter what time of day it is, no matter how socially inappropriate it might be, no matter what else we are attempting to do at the time.

I find myself looking at my smartphone, one-handed, while cycling along in front of 3-lanes of red London busses and trucks... what could go wrong? I find myself finishing typing a message, one-handed, while descending steps and even a ladder that leads down onto the 'beach' outside my flat. That ladder is about 80ft high. It would hurt if I fell, or maybe even kill me.

It's a similar deal with selfies. People will go to extreme lengths to get the shot. They won't even let you skydive with a camera until you have done a certain amount of jumps, because of the sensible precaution that people should concentrate on the hard ground that is approaching at 125mph, and not the killer shot that will make their Facebook profile look super awesome.

Got to Catch 'em all

So I tried to photograph 64 painted sheep in Covent Garden yesterday. Should we be quite worried, in a pathetic hand-wringing Daily Mail reader way? Why? In the above image, some adults might have been accidentally been photographed obsessively taking photos of their children. The image is low enough resolution that you can't actually recognise people, but some idiot will still declare that their privacy has been invaded. Welcome to London, you muppets. We are one nation under CCTV.

(NOTE: I took particular care to avoid taking a photo of anybody's child, and no, that really is not your kid in the image... it's someone else who shops in Baby Gap or Mothercare or wherever, and has a blonde/mousey/dark-haired kid. Can you imagine how hard that is in Covent Garden?).

So, for my part, I am pretty much putting my entire life - not including anything I am under contractual and professional obligation to protect - into the public domain. Nothing to hide, nothing to fear.

Is this brave, or stupid? Will I come to regret doing this? Am I embarrassed? Yes, there is embarrassment at first, and then this grows into a feeling of being liberated. Nudity, sex etc. are still taboos, so I'm not going to take things that far, and I am mindful of other people's need for privacy so I won't be exposing anybody else to my public life laundry. Ask yourself though, why do you feel uneasy about something leaking out?

Greenhouse

So, I believe that Cannabis is a very dangerous drug that has been allowed to enter popular culture (some conservative estimates say that 1 in 10 people are regularly 'stoning' themselves). My biggest concern is that prodromal Schizophrenia is being turned into fully blown psychotic episodes in young people. The paranoia and disordered thinking that I have witnessed in friends and relatives is disturbing.

The strains of Cannabis that have been developed with very high Tetrahydrocannabinol (THC) content are ruining many lives. People just sit around, eating, playing computer games, and p1ssing their youth away. These are smart and enterprising people. We are losing a whole generation, and I'm pretty angry about that.

If you walk around Camden Town, you will realise how the Marajuana plant has become a ubiquitous emblem for a huge powerful narcotics industry. The revenue and turnover involved is many many billions, in the UK alone. The corruption involved, the bribery of government officials, is a multi-agency problem that spans Border Controls, Customs, Police, Local Government, and of course, Parliament. Professor David Nutt was run out of government for trying to bring some sanity to the issues which threaten to tear our society apart.

We can't have an entire generation, whose ideas and energy have been repressed by a chemical 'straight jacket'. These stoners are too intoxicated to see that they have been conned. They might think they are part of a counter-culture revolution. From my first-hand observations, they are actually spouting complete rubbish, gawping at the TV, surrounded by empty junk food wrappers, in the stained clothes they have been wearing for days.

It sounds like I'm having a go at young people. I really am not. This is a major sadness in my life, that brilliant, bright, intelligent, energetic, beautiful young people are selling themselves so short, because they have been trapped into a cycle of poverty and intoxication, addicted to strong narcotics. What other hopes do they have? Getting a job as a young person is almost impossible.

Can't get a job without the experience. Can't get the experience without the job. That's the spine-chilling Catch 22 that is destroying a whole generation. These are your children who are being frozen out from the employment market. Take a bloody look at yourself, stop looking at the profit and turnover for your company, and ask yourself how many apprentices have you trained? How many entry-level positions have you created in your company? What are you doing to help the next generation?

Give young people the break they need in life. It could be as little as a small business loan, of a few hundred or few thousand pounds. That kind of money is pocket change compared to the value of your savings and assets. If you don't give away more than 1% of your total personal wealth (value of your house + value of your salary + value of your savings + value of your pension) every year, for the lifetime of each child that you have spawned, then you are a pathetic spineless leech on society.

My parents, tried to be as supportive as they were capable of being, and I love them. They have made mistakes, just the same as all of us, and I do recognise that being a parent is hard, and everybody is just winging it.

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Squaring the Circle

5 min read

This is a story of a seemingly simple equation...

Weymouth

1 + 1 ≠ 1. I have been trying to make a single 'perfect' life by finding 'the one' but this has not led me or anybody to nirvana.

I was once so desperate for 'love' that I tried to make a relationship work with a girl I didn't fancy and a male boss, who was gay. You can't say I haven't tried everything!

I've had some lovely girlfriends, but it's been rather hard for them. I think I started 'clingy' and then progressed to 'intense' and then didn't really develop much from there. Not sure why it's taking me so long to realise that these things can't be rushed.

So, I got married, and we had our first test of in sickness and in health almost immediately, but we got married in Hawaii, so I'm not even sure if that was part of the vows. I certainly feel like it's a pretty crucial part of a loving committed relationship, but I don't know what the correct formula is.

Happy Hawaii

When I had to go into hospital, soon after getting married, my wife said I would have to choose between her and treatment. I was pretty sure I was going to die if I didn't get treatment, and it was the reccomendation of my doctor, so I was kind of caught between a rock and a hard place.

I had pretty much offered my wife my head on a platter, as some kind of crazy symbolic gesture of how much I loved her, but that I felt I needed to demonstrate my love in this way was most confusing and distressing to me. I can see that this was my problem, not hers.

I left London to live the dream of having a place near the beach and kitesurfing every day. While I was down at the beach one day, my then girlfriend went through my stuff and when I returned to my car to warm up, I saw that I had a message demanding that I return home immediately... I was being summoned to court. Not a real court, but I had been summarily judged to be various things. I had to scamper back as quickly as I could to face my charges.

I don't blame my ex. She had added up 2 + 2 and made 5. She only cared about me, and about our relationship. She was worried I was a drug addict, because she had been through my internet search history, and found that I had Google'd "Nutmeg" after our friend had said that it had psychoactive effects comparable with strong narcotics. Frankly and truthfully, I merely wanted to find evidence to repudiate these unlikely claims.

My ex had good reason to feel insecure though... our friend had kinda gotten my attention. Not to do with the drugs, but she was and still is a larger than life character who defies being ignored by any and all male attention. That does not mean I wanted to cheat on my ex. It means I can still look at a cheeseburger when I am eating a steak.

The company that my ex was working for at the time sent her away from my beach dream life quite often, and I was lonely in the flat that she had insisted that I rent to be close to the office that she never spent any time at, in Poole. I had offered to move to Oxford, where she was working most of the time, but she had promised me that her contract would not be extended. Having worked for the same client and received several extensions myself, I could see that this was unlikely.

So, my friends looked after me, when I was all lonely in our huge apartment that was nowhere near any of my friends. We went out and sang Karaoke. We got drunk together. My certain female friend in question even offered to try and help me with my lifelong dislike of blowjobs... I declined, because I was in love with my ex. It was a thoughtful gesture though.

My ex could see that there was a certain chemistry though, and I guess she grew insecure. She tried to break up with me, without an explaination, and I was confused as hell. I stuck with it and she could see that I cared about her very much and so she gave it another go, but I never really understood what that was all about, until I just wrote these words right now.

The thing that she never seemed to realise is that I only had eyes for her. She lit up a room when she was happy. I remember walking with friends down at Ringstead Bay, near Weymouth, and the girls were walking along together in a line, when I turned back and shot my ex a smouldering look, completely by accident. I was so in love with her, it was so visible to everyone else that the girls either side all went "aaahhhhh" simultanously.

I hope my ex is happy now. I hope she has moved on. I hope that I made enough space and gave her enough closure that she has been able to pick up the pieces of her life and carry on. I'm really sorry that things didn't work out, but I hope the breakup can somehow be for the best in the long run.

So, one of my best friends reminded me last night of the rule of thumb for getting over someone. Seeing as me and my ex were off-and-on from 2005 to 2013, I guess that means there will be a situation vacant in 2017, but until then women should steer clear of this particular emotional juggernaught.

One ring to rule them all

Show me the way to Mordor (October 2013)

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If You Read This I Will Have To Kill You

5 min read

This is a story of "greedy, lazy, incompetant people who got found out"...

Fear and Loathing in 8CS

Justice is a funny thing. So is Karma. Things will always catch up with you. "My name is Earl. I'm just trying to be a better person".

I might not particularly agree with the Patriot Act, but I agree with the punchy tagline that was used to sell a lie to the American people, who were still scared and reeling from the biggest terrorist attack on home soil: nothing to hide; nothing to fear

However, I have a job which I need to pay my rent, but someone who isn't me (Earl) was working with a colleague who had his/her contract terminated today. Here are some more words I heard from Earl:

"I had asked to be moved from one scrum team to another due to a difference in style and approach from the way I like to do things, which has always been quite successful for me. However, it's not in my remit to tell other people how to do their job, so I asked if I could work with the a person who seemed to be doing things more in line with my expectations.

There then followed a blissful two days of productivity. The business seemed happy. The product owner/CIO seemed happy. Us developers were overjoyed and we were high-fiving and walking around the office with big grins.

We decided to go out for lunch as a well bonded happy team, at the suggestion of our scrum master. But he/she never showed up. As we sat there at lunch, we all agreed what a great guy/girl he/she was, and that we wanted to support him/her from the inevevitable management pressure that was going to fall on his/her shoulders.

We were surprised that our colleague didn't join us for lunch, especially as it was his/her idea. We had left a note and tried phoning him/her.

Over lunch we discussed how 'damagement' (management) were not really interested in knowing the truth, and in fact didn't want to know it, as it would undermine plausible deniability.

I observed that a couple of people had been asked if they would like to consider other opportunities in light of the increasing and relentless pressure. I wondered whether I might have been guilty myself of precipitating one of the scrum masters' untimely departure. It was almost an open secret that I thought he/she was a micro-managing waste of space.

I had actually been one of the people who was asked to consider other opportunities. I nearly laughed in the face of the person asking me. The irony of it was beyond belief, given this person's dependence on me during the previous weeks. I stood my ground and asked him/her to resign instead.

This kind of brinksmanship must be going on all the time between these equally incompetant fools. Knowing that I was competant, it was not brinksmanship for me. Instead I felt confident that the project and the client needed me more than I needed the contract.

You can't bluff a poker player who is holding the nuts - the very best possible hand available from the cards that have been dealt. It's a simple matter of memorising the odds for all the possible hands, and then your play becomes automatic: you know almost immediately when you should fold.

When we got back from lunch, I went for a pooh. I sat on the toilet, looking at Facebook and taking my time. I was relaxed and enjoying my job again, for the first time in ages, after having been empowered to do my job and make things better.

I came back to my desk, and my team told me he/she was gone. Immediate effect. They had got rid of him/her while we were all at lunch, with that empty chair at the dining table.

We speculated during the afternoon that the reason for termination was a lack of fear. Our departed colleague was rumoured to have no mortgage. He/she was too honest. Too fearless. He/she wanted to do the right thing.

I liked him/her, even though many people didn't, seemingly for intangible reasons, unrelated to whether they could do their job well or not. His/her face didn't fit it seems."

Anyway, I'm not really able or willing to comment, given my position on a sensitive, high-profile project that I can't talk about, and would never talk about, given my professional duty to my client. I will say this though, of the attitude of me and my colleagues. We care very deeply about the needs of our client and customers, and we always put those needs first, often ahead of our families, our health. We are passionate and dedicated, and excel at our jobs, under the most intense pressure and stress.

We are all trying to be the very best we can possibly be. We need to be. The bank is "rotten as shit" as the Department of Justice will attest. $1.9bn fines don't get dished out every day. We are turning it around though. I really like the CIO. I really like my team. I really like my job. I really like trying to save hundreds of thousands of jobs. We don't get to do that in IT very often.

[Picture has been removed by IT Security]

Me in the office, wearing a rugby shirt, looking like I'm having a 'good time' despite having worked far too many 7-day weeks (September 2015)

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