This is a story about getting things in perspective...

When you're climbing a mountain, you can't think about the summit too much. You have to take things one step at a time. If you are much too fixated on reaching the top, you will feel disappointed every time you reach a false summit. You will feel disheartened when you see how far there is left to climb.

I'm quite familiar with mountainous tasks. I started my full-time career at age 17, and I had my challenges with immaturity, but also with age prejudice. I sacrificed a huge portion of my teens to learning programming, so I was pretty ready to start work, unlike some of my peers who had done non-computing degrees at University. However, my youth held me back for many years.

Around the time I turned 30, I built a couple of cashflow positive businesses. Taking something from the idea stage to the point where you're taking customers' money is not something that should be underestimated. It's easy to do one deal, and just keep dealing in that same way, but it's quite something else to put together an established business, with multiple customers, suppliers, and create a trusted brand.

Then, as I've written about at length, my mental health started to be the mountainous task in front of me. Or rather, I was at the bottom of a deep dark pit and had to climb my way out. Facing a collapse in your sense of wellbeing, your ability to cope... that's a fairly big thing to tackle, when you've had nearly 30 years of steady stability.

Most recently, dealing with drug addiction is probably one of the hardest challenges a person is ever likely to face in their life. Addiction can consume a person so quickly. It's like a fire. If you don't put it out fast it will spread, and if you leave it to develop into a raging inferno, it will be virtually impossible to extinguish and it will just consume everything with its flames until there's nothing but charred remains.

It seems really stupid to me, how long we let people flounder and struggle for. We just turn our backs and pretend stuff isn't happening. We just hope for the best, hope that the person doesn't bother us, hope that some miracle happens, hope that the person who's in trouble sorts themself out, hope that somebody else will deal with it so we don't have to.

There's a really nasty streak of "look out for number one" going around more and more. People live their lives in an increasingly isolationist manner, critical of other people's choices, and only thinking about their own wellbeing. We are encouraged to trample on each other in order to get ahead. We hoard and do not share.

People can't see the wood for the trees. They fail to recognise that pushing their kids to get good grades at school just creates an arms race. Pushing your teen to think about 3 or 4 years University education when they're just a child. Pushing your young adult kids to get a good career, a profession, when they're just developing their own identity, deciding what they want to do with the next 40 or 50 years of their life. Can't people see that at every stage of this funnel, things are getting more pressured, more competitive?

I received an email today from somebody who is already struggling with the pressure of University. Think how much pressure that person already endured to get the exam grades to get that University place. Think about how many exams they have had to sit, in order to stay in the system, and be allowed to continue with some hope of getting a well paid job at the end of it all.

We're tested, and then we're tested some more, and then we're tested again and again until the end of our days, nowadays. Now that we have established this over-competitive bullshit arms race of a life. There are too many lawyers, too many doctors... too many of all the professions that are desirable. An exam might look like an ordered, disciplined, academic thing, but we might as well have our kids duking it out with pointy sticks in the middle of a jeering snarling crowd of bloodthirsty onlookers.

In the zero-sum game that we have invented, for every winner there's a loser. That means that whenever a kid gets a bunch of "A" grades and a place at an Oxbridge University, some other kid has to leave school without any qualifications and be considered unemployable. There are only a limited number of places for the elite: both in academia and professional life.

We're not building a longer table, we're building higher fences. The pressure on kids to not make a single slip up, from the moment we start pressuring them to beat their peers throughout a gruelling school, college, and University life. One black mark can derail your entire future. Screw up one set of exams, and you'll be tossed into the 'undesirable' bucket, and find it very hard to rise above your peers ever again. You'll be trampled underfoot.

Schools can only give out the same limited percentage of "A" grades each year. Universities can only give out the same limited percentage of firsts and 2:1 degrees each year. Companies can only afford to hire a small number of entry-level people - the very best - each year. We drive huge amounts of people into a funnel that's just way too narrow.

Opportunities just suck right now for young people. It was pretty sucky when I was a kid, and there was always hell to pay whenever my teachers spoke to my parents, even though I was always in the top sets and getting good grades. There were plenty of sharp-elbowed pushy parents who ruined plenty of childhoods back then... today it must be bloody miserable and awful. No wonder we are seeing a spike in teen suicides and self harm.

And for what? Do you think your kid is going to get a good job after they finish jumping through those academic hoops... doing all those exams and essays and dissertations? Do you think your kid is going to happily couple off with some lovely partner, buy a house and start raising a family of their own? How the hell could they afford to? Have you seen the disgracefully low wages and the sky-high house prices?

You can do a 180 degree turn and still take a step forward. You don't have to feel like it's a backwards step to admit you're wrong and start going the other way up the dead-end alleyway that you led your kids and grandkids down. OK, so school and work was OK for you growing up, but that doesn't mean it's working for your kids and grandkids.

What worked for a world of 2 or 3 billion people doesn't work for a world of over 7 billion. There are just too many people competing for a finite amount of bullshit qualifications and jobs. We've set our young people up to fail, and it's not because they're stupid or lazy. It must be incredibly stressful and hopeless, being young today, with so few prospects and such a hard struggle to get ahead of your peers.

At the moment, the human condition is not being advanced. The ship is being steered by a rudderless drunk of a captain, in selecting our political and commercial elite from the greying middle-aged nostalgic fools who've had it way too good for way too long.

The current set of elitists kowtow to the pensioners, because everything is owned by institutional funds: every company is majority owned by pension funds. The grey pound is the only pound. The kids don't have any money. The corporations worship those who are in God's waiting room, just hanging around for their time to die. It's a system that's leading the whole world to its death.

We should be looking down, to those little kids and their energy and optimism, and thinking about their future, not looking up to the heavens and thinking about our death. You might have a comfortable retirement, but you'll be riddled with disease and old age. Would you not be more comfortable knowing you left the world a better place for your kids and grandchildren?

Build no store of wealth on this Earth.

I feel sorry for working class people who have worked hard their entire life, and they've still been cheated out of a living pension, but their health is failing. Their voice is silenced by the deafening boom of the ones who've had a cushy life with a golden parachute final-salary pension at the end of it all. We can't see the wood for the trees

Tags: #politics #childhood #mentalhealth #capitalism

This is a story about warped perceptions...

The world in which I inhabit is vastly different, depending on the state of my broken brain. Mood fluctuations cause me to interpret things very differently than a supposedly 'normal' healthy individual would.

I've written a lot this year about drug abuse, but I'd like to talk about a time before drugs even entered the story and made the water muddy. I'd like to talk about what it was like from 2008 through to 2012, when my brain was just doing its own thing, without drugs or medication.

If you're a person of prejudice, it won't surprise you to learn that drugs mess you up, but you might be surprised to learn that my mental health problems predated any drug abuse. You might also be surprised to learn that people can recover too, and go back to ordinary life, with nobody any the wiser as to your dark past.

But this really isn't about drug abuse, remember? We're talking about a period of 4 years that predated any psychoactive substances making things all messy and confusing. We're talking about when I first went to my doctor, because I was struggling with my mental health.

I spent just over a minute of explaining to my doctor that I felt completely exhausted, overwhelmed and unable to face friends, family, work or anything... I had drawn the curtains and switched off my phone, and retreated under the duvet, and could barely make it to the doctor's surgery.

"Have you heard of Fluoxetine?" my doctor asked. I said that I had, and that I knew that the trademarked name that it was more commonly known as was Prozac. I said that I had read very bad things about emotional blunting and ruined sex lives of those people who were taking Prozac. I had read Elizabeth Wurtzel's biography, Prozac Nation, where she didn't exactly speak highly of the 25 year old medication.

How sad that the National Health Service (NHS) would be offering some cheap generic pills after only a minute of getting to understand a patient's problems. It takes 6 weeks before an anti-depressant SSRI medication like Prozac takes effect, and it's a fairly serious decision, to put somebody on long-term medication. I think it's a little ridiculous that we don't offer more talk therapy, as a first line of defence.

So, I was diagnosed as having Clinical Depression, within just a few minutes. Something I also knew, but didn't have the time to discuss with my doctor, was that SSRIs can be very bad for people with Bipolar Disorder. I knew my moods fluctuated up as well as down, so I had my suspicions that I was Bipolar, and that was another reason to avoid Prozac.

When you're depressed, everything seems hopeless. I had decided that I was useless at my job, that I hated working in offices, that I hated computers and software, and that I couldn't handle a career in IT anymore. I also lost interest in going out, sex, food... I pretty much just slept, or lay in my bed feeling anxious about the fact that I was off work sick.

After a couple of months feeling like this, I hit upon the idea that I was going to write a computer game for the first generation iPhone, to be ready in time for the launch of the App Store.

Although I had decided that my office-based IT career was over, the idea of programming on my laptop in my garden in the sunshine didn't sound too bad. I knew that the early limitations of the first iPhone meant that I could make a fairly basic game, and compete with other developers. I decided that if only a few people bought my game, it was still a fun experiment.

And so began a period of intense activity. I would work for 18 hours a day, 7 days a week, in order to capitalise on those precious early days of the App Store when there were hardly any apps on there. It seems incredible now, that there were only a few hundred or few thousand apps for the iPhone. There was no Android. There was no iPad. There was just one smartphone that created a billion dollar market, overnight.

When we look at that crazy period of my life, when I was churning out apps, it's pretty clear to see that my mood had swung to another extreme. I didn't have time to explain things to people. My thoughts were racing, speech seemed like a frustratingly slow way to communicate, eating and sleeping were an inconvenience, certainly I didn't want to do anything other than work on my apps. I was single-minded to the point of obsession.

In economic terms, things paid off. I got a couple of my apps to number one in the charts, briefly. One of my apps was downloaded 8,000 times in a day once, and another one racked up 500,000 downloads in a month. This was clearly a brilliant gold rush.

I knew that the quality of the apps being released was increasing steadily, and the opportunity for one fast burning out dude in his garden were rapidly diminishing. I started to really hate the work anyway. I had a whirlwind affair as an indie games developer, and it happened so fast that I started to hate it, just like you start to hate any job that you've mastered and has become easy.

Possibly this was a sign of my mood turning again. I had managed a period of several weeks, working at a ridiculous level, and what goes up inevitably must crash down. I hadn't been able to exert myself to such an extent since the school holidays in childhood. There's no way you'd ever be given 6 to 8 weeks to concentrate and just get on and hammer out a project, in a corporate environment.

My mood started to alternate between depression and hypomania (as described above) and I would turn each episode of frantic activity into a period of opportunism, to make money or produce something tangible.

Getting myself back into an office environment and doing some IT contracting re-stabilised me a little bit, and getting a boat so that me and my friends could go wakeboarding was something I was passionate about, and consumed my lunchtimes, after work in the summer, and weekends. My life got back to normal, for nearly 2 years.

During that first depression, I had set certain wheels in motion, however. One particular scheme was retraining as an electrician, while I was working as a programmer still. When I had finished my training, I quickly quit my job.

Going back to an unstructured form of making money, I started working too hard again. Building a business from nothing, to breakeven and hopefully to profitability is not quick and it's not easy. I managed to start getting good clients and increasing my turnover very quickly, through some shrewd partnerships and advertising choices. However, I was extremely inexperienced, and took on way more work than I could manage, sustainably.

I got my new business to the point where it was profitable, and had paid back the initial capital expenditure on training, van, tools etc. but I was burnt out again. I had lived and breathed my business, and only because it was hard physical work, had it lasted slightly longer before my brain was finally frazzled.

Depression reared its ugly head again in 2010, and I realised that I had made a mistake in cutting away from the easy money that a career in IT had to offer. I failed to recognise the importance of a stable working environment though: restricting your hours to 40 or 50 a week, giving yourself weekends off, having the occasional holiday, working with other people who share some of the responsibility and workload... those things are important.

My hypomania started to get a bit more extreme. After reading an enormous pile of books on Particle Physics and Quantum Mechanics and other theories & models of theoretical Physics, I started to read huge amounts of academic papers from Cornell University's online library.

Some of the academic papers that I read were extremely interesting to me, and I emailed the authors to ask them questions. To my surprise, most of them responded, and we started to correspond via email.

Spurred on by this, I started to believe I could author my own paper and get it published, and I developed a hare-brained idea of my own, around a thought experiment that was particularly hard to test in the real world. I eagerly sent my paper off to several academic journals. A couple of the journals even responded... unsurprisingly to say that they wouldn't publish something that hadn't been peer reviewed.

Obviously, it's on the border of a delusion of grandeur to imagine that you might have anything of merit to contribute to a field, after only a few months reading the literature and educating yourself about the deepest mysteries in the Universe.

These delusions are something that I've always been wary of, and I try to be self-aware, but it's fairly clear that there was a progression in the difficulties that I was having with Bipolar Disorder, and the regulation of my moods. I wasn't imagining that I was the next Einstein, but I was having to say to myself "be careful, you're not the next Einstein" and give myself regular reality checks.

I still cringe when I think about some of the emails I sent to very important academics, and how, even though they indulged me, it must have been with slight tongue-in-cheek, to respond to a complete layman such as myself.

After yet more time lost in a pit of despair and hopelessness, where I did very little except for mow the lawn and feed the cat, the iPhone App gold rush cropped up again. This time I decided to sell picks & shovels.

Depressions are very similar to one another. You sleep a lot, you don't do much, everything looks shitty and you hate yourself. My depressions were clearly getting worse, as I started to think about suicide more and more. I started to accumulate more and more paraphernalia with which I could kill myself: inert gas, razor blades, Barbiturates, Cyanide etc. etc.

Periods of hypomania are easier to tell apart, because I can tell you what I was obsessed about in each one: iPhone Apps, boat, megashed, electrical business, physics and then my picks and shovels for the iPhone App gold rush.

I formed another company - Roam Solutions - which was later to become MePublish.com and Hubflow.com. I talked a couple of friends into joining me on my mad escapade, and generally threw everything and the kitchen sink at this particular endeavour.

My new company put on an exhibition stand at London Olympia, Learning Technologies conference, only months after I first conceived the idea for the service we sold. Delivering eLearning was something I knew nothing about, but that wasn't going to stop me.

By the time the winter was over, I had managed to get the company involved with the TechStars network, and we relocated to Cambridge in order to do a 13-week technology accelerator program, where we would be introduced to billions of dollars worth of investors.

13 weeks is just longer than the sweet spot for one of my hypomanic periods, and I was really struggling by the end of the program. Suicidal thoughts were quite intrusive, and I was drinking like a fish. I hated myself, and what felt like lies that I was telling to potential investors. It was a struggle to keep going to the end of the program.

I feel bad that I let 2 co-founders and 11 investors down really badly, when I imploded in September 2011. I never got back on my feet, because of relationship problems and a number of things that eventually led to very bad life choices and a whole world of pain, destruction, devastation.

I don't feel too bad because I'm clearly unwell and because nobody risks their money and a stable job unless they want to try and get rich quick. I genuinely didn't pull the wool over anybody's eyes. There was a big opportunity there, and I'm only partly to blame for everything going tits up. The biggest part, perhaps, but still only partly.

Writing code for iPhone, iPad, Android and BlackBerry, as well as the back-end (serverside code in PHP, Linux administration, database etc. etc.) plus rebranding, raising money and everything that goes with a startup is a hell of a lot to fit into 13 weeks. A crash was inevitable for me: I was too close to the detail, too close to the coal face, too close to the customers, too honest with the potential investors.

At the end of the day, I got my arse handed to me. I was completely spent. I've never experienced such hard work and stress and pressure in my life, although there was a lot of fun too, and I had an incredible time meeting some of the most inspiring people I have ever had the good fortune to cross paths with.

The main lesson I learnt though, was that I really can't ignore my mental health. Even if I avoid clinical labels, like Bipolar Disorder, I definitely have a predisposition to mood instability if I make bad choices. I can't ignore the number of times I've swung between extreme depression and extreme 'highs' which are characterised by massive productivity, and increasingly delusional hopes of being rich and famous.

Things are obviously still very 'up and down' for me, but there is seemingly no end to things that spur on my hypomania. Most recently I ended up working on HSBC's number one project, and being made responsible for a really critical part of that project, by the CIO at the project townhall, in front of the entire team. The facts as they are presented to me, do little to discourage a kind of boom & bust lifestyle.

I guess I could reshape my life around working for 3 to 6 months, and then taking 3 to 6 months as a break to recover from my over-exertion, but I don't think it's very healthy. I'm now faced with the challenge of how to manage my own mental health in a more sustainable way, before I really run out of luck and tread on some toes that get me in super big trouble.

Wish me luck. I'm going to need it.

I really didn't sleep very much while I was at HSBC. Naturally, this started to be detrimental to my mental health. Eventually, I was very sick indeed, and it was hard to continue... I had to go into hospital

Tags: #bipolar #depression #suicide #mentalhealth #career #banking

This is a story about going round in circles...

The mistakes of the past, the pitfalls, the traps, and the warning signs and the other things that can be learnt by experience, are not hidden from me. The 'right' way to live your life is not alien to me. There was a period of many years where I worked regular hours, paid my mortgage, bills and went about my daily routine with familiar normality.

Now, it's easy to point at many aspects of my life and say "that's not right" and "you need to fix that". I'm not blind and I'm not stupid. I can see what needs to be done. I know where I need to get to. However, there is no short-cut to moving from dysfunctional to productive regularity. There are no fast fixes for the myriad little things that break down and need attention.

The accumulation of this backlog of little broken things and time spent trapped into a dysfunctional existence, leaves very steep sides to a very deep trench that you get stuck in. There are limited opportunities to make your escape.

Please don't think this is a case of poor me, poor me, pour me another drink. I'll either get out of rut I'm stuck in, or else I know quite precisely where I'm going to end up.

It's true that at a certain point, it becomes attractive to just give up, to capitulate, to self-sabotage. When the task ahead just looks so daunting and you have none of the resources you need to complete it, why not use what little remaining life force you have in reserve, in a hedonistic exit from your miserable existence?

I'm certainly not in that position at the moment. I have a couple of excellent lifelines, and to throw in the towel now would be churlish. When I scratch the surface, things are so much worse than I could even imagine, but at the same time, I have some assistance and opportunities that I'm ridiculously lucky to have.

For those who have to imagine the many parts of the picture that remain obscured to anybody except the mind-reader, you will struggle to see much difference between your own functional life, and my dysfunctional one. It doesn't look like it would take much to restore normality.

However, it has been a long time since I was 'in the saddle' as it were, cycling along with good balance and steady pedalling rhythm. 3 meals a day, a hard day's work and a good night's sleep. Week after week, month after month, year after year. My life simply has 'episodes' now, where I switch between different modes.

I'm stuck in an episode of low mood, low energy, high anxiety, high stress, low productivity. Things that aren't exactly peachy for getting your life back on track. It's hard to imagine why I'm not up at first light, fixing everything up and pushing hard to get back into the swing of things. Hard to imagine if you've never hit a brick wall of depression or anxiety.

It's a bit of a waiting game. Moods fluctuate. The body and brain dictate the terms, and to artificially alter them with chemicals is partially how I ended up stuck in this rut, so it's not like I just need a few happy pills from the Doctor. Or that's certainly a route I'd like to avoid anyway, having already seen several iterations of that particular approach, with the same results every time.

It seems there's no cheating the system.

Doping in sport can lead to enlarged hearts that can suddenly stop beating, blood that's so thick that you can't fall asleep and have a drop in blood pressure, muscles that are swollen into vein covered monstrosities from steroid use, arthritic joints and inflamed tendons. Don't you think we're just pushing the human limits too far some times?

Using vast amounts of strong coffee to concentrate on work, and vast amounts of alcohol to switch off and de-stress after work, is perhaps the office worker's equivalent of being in the Tour de France, surrounded by other people who are using the performance enhancing substances, who are your peers and you need to keep pace with.

My body is screaming "where are the stimulants?" as I deny it caffeine. I could start drinking coffee and cola again, but I have no idea how far away from my true self I really am, I've been so out of touch with my chemically unaltered moods for so long.

I've started drinking alcohol again, and it's alarming how insidious it is, rushing back into my life, to tranquillise my jangling nerves and put me to sleep. There is some moderation, self-control there, but not much. There is sanctuary to be found at the bottom of a bottle. Intoxication is sweet relief from otherwise never-ending relentless exhausting stress and anxiety.

Without alcohol or some tranquillising medication, or even an herbal sleep remedy, I will just spend a night awake with my fears, my negative thoughts, my anxiety about the sheer volume of things that need to be fixed up, repaired, my stress about the workload ahead.

Things are getting worse before they get better.

Ok, so we have London, and we have bicycles. Some elements look consistent. However, we still have the seasons, and the dark and the rain and the cold are all fairly debilitating unless I'm in a well-established routine, or I can get away somewhere hot and sunny for a couple of weeks respite.

I know that Spring has sprung, and that we are on British Summer Time (BST) now, giving a whole extra hour of evening light. However, my body's not fooled, because I don't have a routine that is particularly dictated by clocks and calendars. I have moods that are dictated by sunlight and warmth.

Over the years I learnt what my body and brain needed, and when. It was important to establish an annual routine, as well as the daily workweek routine. How else could I lay down periods of up to 4 years in the same job, for the same company?

All that's been washed away in recent years. I've shown I know how to survive and get by, but not how to thrive and make things have any longevity anymore it seems.

I would say though, that I haven't forgotten the vast majority of what I learned in 20 years attempting full-time employment. It's only been since 2010 that everything went very much out of kilter. I guess it's like spinning helicopter blades. It only takes a little bit of damage to one of the blades, and the machine will shake itself to pieces.

Just popped round to see Liz and Phil for a spot of tea

Tags: #bipolar #depression #mentalhealth #london #career

This is a story about a desire for privacy...

I've pretty much given up on the idea of having any personal privacy and instead swung to the other extreme of making most of my life completely public. Our family has never had any locks on bathroom/toilet doors and finds the notion of knocking before entering another family member's bedroom to be a baffling concept.

It might sound odd, but this issue grew and grew to become psychologically traumatic for me, and when I'm unwell, I can become obsessed with the idea of people bursting into my bedroom or bathroom at random, leaving me feeling vulnerable and under threat. I appreciate that this is not exactly rational thinking.

My ex-wife had demanded that my parents take me away from the home I owned, the bedroom that my parents put me in had one half of the door lock, but not the other half. I fashioned something that would fit in that lock from a roll of sellotape and had made myself a crude 'front door lock'. Something I was quite used to having from 7 years as a homeowner, and several other years with my own flat.

When my Dad came to randomly burst into this bedroom, he found that the door would not immediately open. Instead of saying, "Hello, can I come in?" or even "Hello", he marched downstairs and phoned the police. It was me who tried to initiate a conversation with him, which he roundly ignored. It wasn't until the police arrived that I found myself having a normal human conversation.

For anybody struggling with the concept of human communication, it goes like this:

• First, greet or otherwise attract the attention of the person you wish to communicate with, using their name or saying "Hey!" or "Hello!" or some other form of greeting or conversation initiator. This avoids saying things when nobody is expecting to be addressed or otherwise communicated with - they might be distracted or busy talking to somebody else.
• Secondly, once you have succcessfully established a dialogue, you may then raise your topic of discussion: ask a question, make a statement.
• Finally, if a response was expected, you should receive one. Otherwise, after a reasonable wait, you may ask if you were heard and understood correctly.

It doesn't seem that complicated for the vast majority of the 7 billion souls who crawl over the surface of the planet every day.

Also, there are fairly universal taboos that are not times when communication normally takes place, throughout this large human population: when a person is bathing or showering, when a person is getting dressed or undressed, when a person is having sex or masturbating. Those are normally not acceptable times to expect to hold a normal conversation or interact in a communicative way.

I honestly don't think that it was the fact I didn't grow up in the Swinging 60's that means that I follow the human communication protocol and respect the taboos of most people. I'm fairly certain that most people would have some problem with my parents entering your bathroom while you're taking a shit, for example.

You might have heard about acid flashbacks people get, when they have a really bad trip on LSD. One example might be feeling like ants are crawling all over your body, and then that imagined event might occur again, purely psychologically with no drugs in your system, simply because it was so traumatic when it happened.

Similarly, now I'm in my own flat again, and I have a lock on my en-suite bathroom door, I still have attacks of paranoia about people bursting in randomly, unannounced. This has led me to screw 6" screws into the door woodwork, and other acts of keeping my bedroom door physically closed. This has become obsessive and frantic, at times where my underlying psychological trauma has been exacerbated with drugs and lack of sleep.

My flatmate is actually the first person I've ever met who can calm me down and get me to realise that there is no threat, and it's all imagined, and put down my tools and whatever else I'm fashioning a barricade out of and start to relax and feel safe in my own home again.

I don't think it takes a professional psychologist to understand that if somebody feels under threat in their own 'safe' space, it only takes fairly limited reassurance that the human protocols of knock before entering are going to be observed, before the distressed individual starts to feel better.

That's the view looking down from my attic in my old house. As you can see, there is no ladder or steps lowered to ascend or descend. I climbed into the hatch without the aid of either. The more you shout at a person and corner them and traumatise them and use the police to do the human part of speaking to somebody, knocking, talking etc... the more you drive them into a state of complete psychological trauma, fear, madness.

The psychological damage can be repaired, and the self-protection response doesn't have to be triggered to the full extreme, and it gets better over time. My friends Will & Jess, who had let me stay in their guest bedroom, pretty much left me alone until my leg was mostly healed and I was sat in their lounge, before having a normal human conversation about how it was probably time I started looking for my own flat. They were very delicate and considerate with my feelings. They were kind and considerate. They helped and repaired psychological damage.

I have no idea how 5 people can co-exist with a total loony in the same house, and nothing was really said, but they were very discreet and I'm sure they were kind enough to tell a few white lies to save my blushes. I can't thank them enough for doing that for me, although just like applying the brakes on a supertanker, it takes some time before a person can start to feel safe and unthreatened after a long period of trauma and stress.

You certainly won't get an aggressive response back from me, however you choose to deal with me, but you may find me trying to burrow my way under your floorboards or pretending to be a pair of curtains or something else equally bonkers, as an absurdly twisted response to the extreme threat that I wrongly perceive.

Aggresssion rarely solved any problems in the world.

Direct action might be disruptive, but you can never be sure that the consequences will be positive, and not simply drive behaviour underground and close off open and honest dialog. You can also never be sure whether a person is trying to disrupt/interrupt their own behaviour, unless you really know what you're looking at, when you peek into their private world.

Tags: #addiction #mentalhealth #friends #divorce #parents #london #oxford #police

This is a story about living with a mood disorder...

Type II Bipolar Disorder took a long time to diagnose, despite a fairly obvious pattern of moods that can be easily traced back to adolescence. Of course, we all have mood fluctuations, but it's the extremity of those moods that qualifies something as a disorder.

I would say that hypomania was the more obvious one of of my pathological moods. Being able to concentrate and work with great intensity, with little sleep & food and a refusal to be diverted from my task, an irritability for distractions, hypersexuality, spending loads of money, risk-taking. Talking seems too slow to express your thoughts... the speed that you're thinking is too fast to explain to anybody else, to put into words. You're just a blur of activity.

It felt like driving with the hand-brake engaged for a lot of my life. I was always waiting for the next slim window of opportunity to work on something that I loved. Whether that was the Design & Technology at school, where there was never enough time to finish what I was working on before the end-of-class bell, or the lego model I was making, before it was mealtime and playtime was over.

Of course, we all have to work within a timetable, and we all have to eat & sleep, but these things always made me feel like I had to rush at everything I did as fast as I possibly could, in the hope that one day, I would complete one of my projects. I also grew incredibly frustrated with the limitations of timetables, mealtimes, bedtimes.

Switching to the world of work, there wasn't actually very much to do. Most people did very little. I ended up searching around for extra things to do.

The computer network at my first full time job ran like an absolute dog. That was because AppleTalk traffic from the office Macs and their printers was polluting the Ethernet traffic from the Sun SparcStations. I managed to talk my friend Lucas into helping me to rewire all the cables one evening.

I wish I could show you the actual images, but we weren't even supposed to be in the server room. This was a Ministry of Defence prime defence contractor with a high level of security clearance. The two junior programmers aren't supposed to go and fix all the networking problems in the office without any authorisation.

The next morning, everybody was commenting how amazingly well the network was running. Lucas & I obviously couldn't claim any credit, because we had acted without authority, but nobody was going to do a witch-hunt when everybody was so pleased that the most major problem affecting everybody in the office had been solved overnight.

That's pretty much how a person with Bipolar Disorder hides out in a corporation. You bumble along, bored, depressed, coming in late, demotivated... and then you suddenly pull something out of the bag that nobody else would risk their career to do, let alone the lack of sleep and unsociable hours.

Bosses seemed to just accept my erratic working patterns, knowing that when there was something that needed doing with an impossible deadline, that's normally around the time I'd wake up and start hacking something together.

It all kind of hung together until I started at a new company in 2008 and the project they were asking me to do was so huge, I didn't know where to begin. I was just entering a depression, which was bad timing. There was also a cultural problem, where their in-house IT staff built everything using Microsoft Excel, and any 'proper' software was built by Oracle consultants or bought off the shelf... but nobody liked those big expensive systems.

My depression got so bad I couldn't even get out of bed or stop crying randomly. I knew I wasn't going to bounce back quickly from that one. After a couple of months I quit that job and started making iPhone games in my back garden. 18 hours a day, 7 days a week. I couldn't go fast enough.

And so began a completely unstructured phase of my life. I would take on a project or interest, completely immerse myself in it for as many hours as I could stay awake, and stay obsessed with that single task until I burnt out. Then I would be depressed, and with no reason to even drag myself out of bed and go and be miserable at work, I would just be depressed all day in bed. I stopped answering my phone. I stopped answering the door. I never opened the curtains.

Being self-employed after 11 or so years of 9 to 5, Monday to Friday structure and routine, is kind of a red rag to a bull, if you have a tendency towards mood instability.

I relished those periods of hypomania. I wrote a series of iPhone games. I built a wooden summer house. I read a huge pile of books on Theoretical Physics and had lengthy email conversations with professors around the world, I wrote a mobile eLearning system and launched it at Learning Technologies conference, I decided that I wanted to be a startup founder and applied for TechStars, I learnt all about Bitcoin, bought Bitcoin miners and started mining in my summer house, I traded Bitcoin for profit, I wrote my own virtual CPU so I could attack algorithms like SHA-256, I started investigating security loopholes in things like internationalised domain names and the Google and Facebook developer platforms.

It's not long before you stray into legal grey areas though, so a lot of my projects have been shelved and I've had to go on raiding missions back to the corporate world, to stay afloat financially. These are normally timed with my hypomania, so a company gets 3 months of incredible productivity, and then a month or two of me being depressed, and then we normally go our separate ways.

My depressions have gotten worse and worse. They seem to last longer, and I've actually started to harm myself more & more. It's strange, when you emerge from a depression and enter a period of hypomania though... you can't remember just how dark those previous days were. There's no rational voice that says "hey! slow down, or else you're going to crash again!". Instead, the voice says "better go as quick as you can, because we know a crash is coming again soon".

So how do we know that depression is the pathological mood at the other pole from my hypomania? Well, I sleep. A lot. Sometimes 16 hours a day. When I'm awake I have very low energy, low motivation. I have no interest in things I'd normally find enjoyable. I don't want to see or speak to anybody. I generally think that everything is pointless, broken, useless, hopeless. Lots of negative memories keep coming into my head, and make me think "I can't believe I said/did that" with extreme regret, embarrassment, shame. I think the world would be better off without me. I start to do pros & cons of living lists, either in my head or written down. I start to think of ways to kill myself, and what affairs I would need to set in order before I committed suicide. This goes on for weeks, months.

I've written before about trying mood stabilisers and antidepressants. The side effects just aren't compatible with good quality of life. You might think that risk to life outweighs quality of life, but it doesn't, especially when you have the waves of hypomania to surf, before crashing onto the rocks of depression.

My body and my mind seems to have decided to adapt itself to this world, to this society, to this environment. We applaud the kid who busts their balls to study for their exams, and can then collapse in a heap during the school holidays. We applaud the employee who pulls the all-nighters and comes in at weekends when work is behind schedule. We applaud the 'overnight success' stories, when an impressive project is unveiled, seemingly created out of thin air, as if by magic. There is no magic. It's just an unsustainable burst of energy, focus, determination, single-mindedness and a touch of madness.

I'd like to go back to the routine I once had, pre-2009. Only I don't seem to be able to retrace my steps, yet. I know the formula that used to work, and a very dear and trusted friend urges me to take a permanent job, and he's probably right to some extent. However, if it all goes horribly wrong again, I would have earned a fraction of what I would have done in a contract.

I'm hoping I can find my little niché. Somewhere I can deliver more value than keeping a seat warm from Monday to Friday. Somewhere where the bosses are more interested in results than headcount in their empire. Pretentious? Moi?

I don't really care whether you think I should cheer the fuck up or calm the fuck down... my moods seem pretty intent on doing whatever they want to do. I've been fully aware of the calamitous consequences of not keeping my mouth shut at the right time, or not getting out of bed and doing some urgent crap. It doesn't really feel like I'm choosing even if it does look like a choice to you, as an outside observer.

This looks like a load of angst-filled teenaged immature self-centred selfish drivel. It probably is. I call it my life.

I'm probably more self-aware than you give me credit for. If you're thinking "oh my God, can you even hear what you're saying? Can you even hear yourself?" the answer is yes, yes I can. I spend a lot of time cringing and wishing things weren't so, and indeed wondering why I'm like a moth to a flame so often. I can see the train wrecks before they happen. I've plotted my mood and activity data, and the patterns are as clear as day. So what?

I'm sure there are days when you'd really like to be a bird, just soaring on the air currents above the ground, looking down on people & buildings. It doesn't matter how badly you want to be a bird. It doesn't matter how rational it seems, to become a bird and just fly right over that traffic jam that's getting in your way, it's not actually possible. That's a bit like those days when I would really like to feel normal. I can want it, but it's not actually possible. Anybody who tells you that you can stop worrying or be happy just by choosing is full of shit. You have my permission to punch them in their smug mouth.

So, I'd say my experiment with abstinence was a failed one. We need a little alcohol to calm our nerves. We need a little caffeine to perk us up. We know when we need it, and most of us know our limits. We're pretty adept creatures at tweaking our own moods. We probably need a pet for a bit of soothing oxytocin. We probably need a girl/boyfriend for a bit of serotonin and a squirt of dopamine. Other than that, we just need something to keep our minds occupied as a distraction from the inevitability of death and decay. Not God though. God is for crazy people.

Anyway, that's my two cents, on my two poles: Type II Bi-polar Disorder.

Tags: #bipolar #mentalhealth #depression #suicide #nhs

This is a story about rehab...

What's the difference between detox, rehab and inpatient treatment for mental health disorders? Very little actually. Here's my little exposé into being a patient of the UK's most notorious private drug and alcohol abuse treatment provider.

As far as my medical records show, I was admitted to The Priory for treatment for Type II Bipolar Disorder, during an episode of acute illness. My private health insurance picked up the bill and JPMorgan gave me the time and the space to get better. They're a great employer actually.

I had found a local private psychiatrist, as I was running out of ideas for how to deal with my Dual Diagnosis (Bipolar & substance abuse) and I knew that the stats weren't good. Not many people recover from such a death sentence of a diagnosis.

I was very lucky to find the psychiatrist that I did. I had been trying to get in contact with a number of specialists directly, but things were very slow going during the Xmas/New Year period, when a lot of people suffer a big decline due to the bad weather and family pressure to put a jolly face on everything during the holiday season.

I contacted a general psychiatrist at the local private hospital, and he turned out to be one of the nicest, kindest people I could ever have hoped to meet. It was pure relief to meet somebody nonjudgemental who would hear my story without leaping to immediate conclusions. The first time I met him, he simply said "we can only play the cards we are dealt" which had me in floods of tears, as it was the first time that anybody had ever said something so kind to me.

I had been taking quite a kicking from my supposed loved ones - but I'm not going to go into that anymore - and been made to feel very guilty and a total failure for having gotten sick. It should be noted that I became clinically depressed and suicidal before any substance abuse entered the picture. Bipolar symptoms had always been present in my life, but it took a further 2 years to get diagnosed. Then, finally, substance abuse reared its ugly head and became the most pressing issue.

From my point of view, I had struggled for years and years with recurrent suicidal ideation, suicide plans. I have struggled all my life with mood instability. To be simply dumped in a bucket labelled 'lost cause addict' was a bit s**t to be honest, after 30 odd years of reliable good service, despite fairly debilitating mental health problems.

Perhaps I'm complaining too much, making too much of a big thing of my struggles? Yes, yes, yes, there are people who've had it so much harder than me, blah, blah, blah. Ok, unless you've sliced your forearms multiple times, lengthways along your veins, with a razor blade, do me a favour and shut up? Some of my friends are wonderfully supportive and have gone out of their way to learn about mental health problems. Perhaps you could follow their example?

So you think this is attention seeking? Save it for the funeral.

It's true that it's taking me a while to work up the bravery to take the Final Exit. Ending your life is a big deal, and you've got to do it right, otherwise you're just going to end up in hospital in pain.

I've had cans of inert gas to suffocate myself, 2 grams of Potassium Cyanide, enough barbiturates to slip into a coma and drown in my hot tub while unconscious, travelled to the top of tall buildings, cliffs and peered over the edge of high bridges. The most serious attempt I made was trying to open my veins with a razor blade. I must admit though, I was just testing the water. You want to make sure that you open some major veins, like the jugular, if you want to die quickly.

Stupidly, I still have hope and some faith in myself. I should write myself off for dead, like those-who-shall-not-be-named have done.

So it came to pass that I went into The Priory, with a referral to one of the country's leading experts on Bipolar Disorder and Dual Diagnosis. JPMorgan were told that I was experiencing mental health problems (true) but the main objective was for me to detox for 28 days, so that there was a clearer clinical picture, and the treatment of my Bipolar and depression could begin.

That makes me an addict right? Don't need to read the rest of the story. Skip to the end. Case closed.

Well, actually, The Priory and my psychiatrists were concerned with my mental health, and saving my life, not just labelling me as an addict and sticking me into the revolving doors of mistreatment and stigma that those suffering individuals endure. The Priory is actually a private hospital, and cares primarily for those suffering with various mental health disorders that are less controversial and stigmatised than substance abuse. There were ten times as many patients who were there because of depression, anxiety, schizophrenia, borderline personality disorder, eating disorders etc. etc.

It's actually all part and parcel of the same group of problems. One fellow patient had been admitted with mental health issues, but out of some drive to self-destruct, she started filling up a mug with alcohol-based hand sanitising gel and flavouring it with orange squash, and drinking it to get drunk.

One of my fellow patients tried to commit suicide by climbing a high wall and hurling herself off, while I was there. Does it matter if she was being treated for depression, or for substance abuse? The fact of the matter is that she was suicidal at that moment. Mental illness of some kind had driven her to try and take her own life.

There was a game we used to play, when a car used to roll up to the house, and out would step the worried looking family members, dragging some dishevelled son, daughter or partner out of the back seat and into a meeting about admission. We used to try and guess what they would be admitted for. Sometimes it was obvious - if they had red wine all spilt down their clothes for example - but often it was nearly impossible.

But what's it actually like, in private hospital? Are there rock stars and stuff? Well, my doctors had treated a number of high-profile sportsmen and women, but when I was there, there weren't any rock stars. Couple of millionaires but no rock stars.

Really, it's much like an NHS mental hospital, except a little more well appointed. Everything is bolted down and the windows don't open and the doors don't lock. The lights don't dangle down and there are no curtains. Mirror glass is made of plastic, and pictures are screwed to the wall, not hung. Yes, there is quite a lot of anti-hanging thought that has gone into things.

When you arrive, you will hand over your razor, scissors, tweezers, solvent containing toiletries, shoelaces, belt etc. to the nurses to keep at their station. If you want to have a shave you'll have to ask for permission, and you'll only get a short amount of time to attack your face with something sharp.

Plus, it's still a hospital, and people are very sick. One woman said to me "it's OK, your secret is safe with me" and tapped her nose with a knowing wink. It later emerged that she thought I was a royal prince, and that my presence in hospital was a state secret. She also came into my room and stole all my underwear and my books, before the nurses tracked down her hiding place.

The rooms are actually as good as any 3-star hotel, with a writing desk, nice view of the gardens, an OK single bed and an ensuite with no shower curtain or plug (drowning is frowned upon). Once you're off suicide watch, you might get to move to one of the double bedrooms that are further away from the nurse's station.

Other than the slight refinement of having a TV and a telephone in your bedroom, there is little different from NHS mental health treatment. The food was very good, I have to say, but your days are generally structured around morning and afternoon trips to the dispensary hatch for your medications, and being regularly checked on by nurses if you're not in some group activity.

Between art therapy, yoga, mindfulness, music therapy, table tennis, TV, movie night and generally socialising with the other patients, it all sounds like a thoroughly lovely spa break. There was a gym and quite big grounds that one could roam in, provided you told the nurses where you were going and how long you'd be gone for. Leaving the compound within my 28 days was forbidden.

Your partner can come and visit you, and you can give a knowing wink at the nurses station before you have sex, so that nobody barges in on you unannounced. Just don't take too long. Visiting is only on a Sunday, so you'll probably have a sack like Santa anyway. You have to hand over your mobile phone and laptop, and digitally detox, so pornography is hard to come by. Probably because sex addiction is also treated at the hospital.

We should remember that although people talk about 'rehab' we need to be quite clear about the treatment route of substance abuse. There is first a detox. It's necessary to break the body's dependence on substances, and treat the withdrawal. If you are an alcohol or a benzodiazepine abuser, there's a good chance that withdrawal could kill you, so the hospital will put you on tapered medication to get you off those substances. If you are an opiate abuser, you will get very sick from withdrawal symptoms, and these can be attenuated with substitute prescribing or by putting the patient into induced sleep. If you are a stimulant abuser, you will suffer cognitive impairment, exhaustion and suicidal depression.

After detox, which could take the whole 28 days, then comes rehabilitation. Depending on how dysfunctional a person has been, they could need 3 to 6 months of rebuilding their damaged life in a safe environment. Just breaking the cycle of chemical dependency is not enough. There's a reason why a person entered that cycle in the first place. There's a reason why that person stayed in that cycle.

We know that gambling addicts don't inject packs of cards into their veins, so addiction can't just be about chemical substances, can it?

So it was, as my time at The Priory drew to a close, the staff gave me the bad news that my treatment was incomplete. I would need another 3 months of rehab if I wanted to make the changes permanent. I flipped out. I discharged myself, went home for a day. Then I spoke to one of the staff on the phone and decided to go back for the remaining few days of treatment. She-who-shall-not-be-named decided that I had "failed" in my commitment to getting better. That's simply a lack of understanding about the commitment that is needed to support somebody in recovery.

Recovery is not about abstinence, it's about having people who love you trying to support you. Support does not mean hectoring, bullying, nitpicking and generally being obnoxious to a person. Your holier-than-thou drinking and smoking and generally behaving like it's OK to do whatever you want and laughing in the face of the abstainer is not helpful, OK?

Abstinence doesn't even work anyway. It's just a continual reminder of what people want to believe: that you're somehow a bad person, that you're faulty, defective. People want to treat you differently, want to label you. Teetotallers are ridiculed, treated with contempt. Why bother being teetotal?

Certainly, not being a smoker was a problem in hospital. There would be long periods where I was left all on my own, because everybody was outside smoking. There is no real abstinence in the world. I found the nurse's stash of caffeinated coffee in one of the more remote kitchens, and in some hospitals you are even allowed to have caffeinated drinks. 'Addicts' are encouraged to not give up smoking and tea/coffee, because they will need those things as a crutch, during those early days of abstinence.

If you look a little more closely at human behaviour, you will see that people are self medicating in one way or another. You'll see the hypocrites, dosing themselves up with stimulants in the form of caffeine. You'll hear the hypocrites, being hypocritical about addiction inbetween puffs on their cigarette. You'll suffer the hypocrites, swallowing their pills and liquids they have as government sanctioned, medically approved substitute addictions.

I could go to my doctor and get a prescription - called a script in addict parlance - for something to salve my addiction and turn it into something seemingly acceptable in society. It's OK if my pills come in boxes from the pharmacy, with my name printed on them and with a prescription from my GP or psychiatrist?

If I had to go to work at the moment I would probably need some Dexamphetamine, or at least a gallon of super strong black coffee. Because I've used so many stimulants, I can drink heaps of coffee without having the anxiety, palpitations and sweats that you would get, but it's a poor substitute for genuine amphetamines, even if the caffeine molecule is virtually identical.

There's no magic in treatment. There's no magic to recovery. It's just time & space and being treated nicely by people, being respected as a human being.

It's important to respect people.

Just respect people.

Tags: #addiction #alcohol #drugs #suicide #mentalhealth #nhs #bipolar #depression

This is a story about interpretation...

Anybody who has studied physics to an advanced level will tell you that at a certain point you have to suspend the search for the tangible, the intuitive, and start to make some leaps of faith. The Newtonian Universe, with action and reaction, starts to struggle to explain real-world observations.

I'm not in a survivable situation. I shouldn't have even been able to get this far, to climb this high. The odds are stacked against me in every way. There's not a chance that I could have been through what I've been through, and emerge relatively unscathed. People just don't recover from the trauma that I've put my mind and body through.

On examination, I have a facial tic and two hefty scars on my legs. My facial tic appears to have improved somewhat, since the summer. It's made worse by tiredness and stress, but I feel like it's not as pronounced as it was.

But what does this evidence tell us? Well, it's the tip of the iceberg. My mind and body have been to hell and back, quite a few times. For example, having functioning kidneys is a big surprise. You can't see the damage from the outside, but I suffered near-catastrophic levels of muscle loss, with accompanying damage to my kidneys, as the breakdown products from my body eating itself were going to ultimately prove fatal.

Would you believe that I have induced within my mind, all the symptoms of schizophrenia? I have, at times, believed that 'they' are out to get me (I have no idea who 'they' are... that's the point... it's mental illness) and been hearing and seeing things in a distorted way, misinterpreting what my senses have been telling me. These psychoses should be permanent. I should have been left permanently paranoid, psychotic.

The fact of the matter is that sanity is quite delicate. Anybody will start to have strange thoughts, if you skip enough nights of sleep and meals. Sleep deprivation and hypoglycaemia will mean that your brain will struggle to function. You can't really predict how badly each individual will react to these unusual stresses, but you can be sure that every human needs sleep & glucose.

I guess when you total up all the time that I've been in a psychotic state, it adds up to quite a worrying amount. Certainly enough to give me that facial tic. I used to have really bad full-body spasms, but I figured out which neurotransmitters needed topping up, as a form of prophylaxis to protect against early-onset parkinsons.

If you wonder why I eat so much protein, and take so many amino acids, it's because those things are providing my body with the building blocks to repair and protect itself. It's a thin line between temporary and permanent insanity.

If you were a psychiatrist or a psychologist, just looking at my clinical picture on paper, you would have to assume that I'd be a gibbering wreck. The path that has torturously wended its way through a few different counties NHS mental health services, through the private sector, and then back into NHS with rather a lot of chaos and the involvement of emergency services, across the midlands and several boroughs of London. Well, it's not a story that sits easily alongside a person who appears - to all outward observers - to have their s**t together.

The fact that I'm coping without medication, without the help of the mental health crisis team, without outpatient services, obviously not an inpatient... it's not something that very often crops up, given my case history.

I'm a bit of a statistical anomaly. I don't fit the data very neatly. If we're talking probabilities, I'm dead & buried several times over.

But what's going on inside my cranium? How much crazy am I just bottling up? Well, it's not pretty but it's not that bad either. I'm certainly not battling any psychosis. I don't hear voices, I don't see things, I don't think that I can read thoughts or control people with my mind. In fact, I have never experienced psychosis like that. My sanity has, thus far, been fairly solid in its foundations.

However, I have poked and prodded at questions, which are to all intents and purposes, unanswerable. I have plumbed the depths of what is knowable in an Earthly realm. I have considered things which are really not advisable to consider, lest you drive yourself insane.

Once you start to consider the full implications of something like the Many-Minds Interpretation of Quantum Mechanics you start to question the very meaning of what it is to be conscious. When you start to do some basic maths, regarding the chances that you are alive and conscious at this very moment in time, with 7 billion other souls on the planet, then you can get rather overwhelmed by the statistical significance of it.

These thoughts come back to haunt me time and time again. When I'm unwell, I can even believe that I can perhaps model some of the Universe from base principles. I can perhaps come up with some great unifying theory of everything. Clearly this is a delusion of grandeur.

However, I'm no less able than anybody else to conduct thought experiments. In fact, I'm blessed with a very rational, logical mind. I have even done 'game of life' simulations and models in the past, with some success. But the fact remains, we're talking about hard problems, where hard doesn't even come close to cutting the mustard as an adjective.

So what's all this rambling all about? Well, in one sense my fate is sealed. If we were to consider the evidence, the clinical picture, the pattern of behaviour... I'm doomed! Either insanity, suicide or slow suicide by addiction should surely claim my life soon. It's a miracle that those fates have not already consumed me, and I'm here, stringing a sentence together.

Indeed, many people in my life have chosen to act as if there is a known outcome, as if they have a working crystal ball. Perhaps they have simply computed the odds based on the raw statistical data, and are playing the numbers. According to the numbers, I don't actually exist. According to the numbers, I died a long time ago.

I used to be very upset that people were writing me off before I had even had a chance to make an attempt at life. I used to get very frustrated that I was always a few days or a week or two behind those who wished to frustrate and undermine me. However, the tide has turned now and I finally have a fair wind behind me, and the gradient of the ground in my favour.

It must be upsetting to have somebody who just refuses to die and conform to your prophecies. It must be frustrating when somebody won't fit in the pigeon hole that you have assigned to them. It must be frustrating when somebody refuses to act in the way that you preordained, based on a supposed character flaw or some gift for knowing the future that you believe you have been blessed with.

I'm quite a fly in the ointment, refusing to shuffle off my mortal coil, or be driven irreversibly insane. People are a lot easier to handle when they fit nicely somewhere on the curve.

But I'm an outlier. I'm a stubborn son of a gun who refuses to just lie down and be neatly categorised. I'm very hard to manipulate. I'm very hard to discredit. I'm very hard to marginalise. I'm very hard to silence.

People have tried various underhand techniques to tame me, such as bullying, shaming, assaulting and the gathering of 'evidence' that they believe will show a 'smoking gun' unequivocally pointing to some easy conclusion that can be drawn. I'm sorry, but I'm just not that simple.

If I had one bit of advice for you, it would be to stop jumping ahead. Stop thinking that you can extrapolate from the few data points that you have. Stop thinking that you can predict the future, my future. I'm writing my future, and it very much seems as though my fate is not yet sealed, from what I can see. The grand finalé is as yet unwritten, despite your impatience to flip to the last page of the book and see how it all ends.

People come and go from my life, and I'm very grateful to those who have loyally stuck by my side. You have hopefully been rewarded with seeing a few different aspects of my character, and you can see that understanding and knowing a person is not as simple as making a rash judgement based on what you see, the moment you walk in on a person's life.

People are full of surprises, and even if you've known somebody their entire life, you still don't know what makes them tick, or what they're going to do next.

Tags: #mentalhealth

This is a story about challenging your reasons for doing things...

If somebody said to me that Bipolar was an excuse to do whatever you want, whenever you want, I would find my position a little hard to defend. However, to fall into line, to fly straight, to conform, to bend my mood by sheer weight of will... that's not possible.

I'm a fairly liberated character. Since living with daily threat to my life and livelihood, my risk profile has rather altered from that of a normal rational individual. I tend to leap before I look, and certainly with very little premeditation.

To an outside observer, things look erratic, out of control, recklessly dangerous. To me, things look pretty much the same, but my actions do fit onto some kind of macro plan. Even when I backslide into something or somewhere I really don't want to go, it's a bit of a calculated gamble. It happens when there appears to be little else going on of importance, little other opportunity.

So, have I deliberately sabotaged my own life, at times? Yes, I probably have. But you might be surprised to learn that the motives are not always clear cut. I have become quite an uncompromising character, who finds it near impossible to live in a situation where my values, ethics and professional standards are being infringed.

When you have pushed yourself to the limit and beyond to deliver projects, to create cashflow positive businesses, you know the upper bound of what is possible, both personally and for a software team, and what the reward feels like. You start to get a sense of whether it's worth pushing yourself that hard, or not.

When you have sunk to unimaginable depths, in despair and abandonment of everything, you know the lower bounds of what is survivable. You know how low you can go before you will either shuffle off your mortal coil, or some shred of self-preservation instinct is finally activated. You know what it feels like to literally make a life or death decision. You start to get a sense of whether you really want to die, or not.

Above is a picture of me, 24 hours after having been discharged from the psychiatric ward of a hospital. I had been body surfing in Cornwall. Those powerful waves and strong currents. That thrashing violent cold winter sea.

There's little doubt that this extreme environment activated my self-preservation instincts far more effectively than a week-long stay in a locked Mental Health ward, where nurses checked on me every 30 minutes to make sure I hadn't topped myself. That's not to say I'm not extremely grateful to everybody in the NHS who helped me.

Teaching my friend Klaus to surf in Bude, I drifted into the river mouth, where a deeper channel has been cut into the sea bed. The water flowed faster there and I started to be pulled by a strong current, well out of my depth and into the path of breaking waves. I knew that it was going to take time, a load of stamina, and a certain amount of calmness, to swim out of that channel and back into safer waters, and body surf my way back into the shallows where I could stand on the sea floor again. I had no floatation aid, no surfboard of my own.

Drowning in the sea would be a much more unpleasant way to end your days than, say, clattering into the hard ground at 125mph from an aeroplane or a tall building, or slowly losing consciousness as your blood leaked away out of ruptured blood vessels. However, I still find it interesting that I was making game plans to save my own life. Was I going to try and attract the attention of the lifeguards, who would see that I was out of the safe swimming area and come and pick me up? Was I going to try the riskiest but less energy-consuming tactic of swimming for nearby rocks that waves were breaking onto?

It's weird how you can find yourself messing around with Sir Clive Sinclair's latest invention in Cambridge one minute, so full of passion and energy, optimism and enthusiasm. Then your mood seems to suck all the life out of you and you're not sure where or when it's going to bottom out. You're not sure if you're on a ride all the way to oblivion, or whether you'll pull up out of the nosedive at the last possible moment.

That's my true reaction to my moods, to pressure, to risk, to addiction, to unhappiness, to discomfort, to instability: I will do something extreme. I will actively seek out something that will challenge me to my very limits. I will push myself until I find the true edge of the abyss.

Sometimes you feel like you've tried your hardest, that you can't go on, that something's not possible. You've reached the limits. I'm regularly surprised by what reserves we seem to store up, as human organisms. The disparity between perception and reality is most pronounced, when it comes to strength, stamina and depression. When you come close to those limits, you realise that your fear is giving you a safety margin, a buffer, that keeps you a safe distance from the true edge.

However, my brain has been somewhat corrupted, warped, miscalibrated. I had little hesitation in attempting to climb up on a ledge on the 48th floor of a tower block, where there is a little outdoor area. It's only that my colleagues pulled me back that prevented me from standing there, on the ledge, eyeing up the drop.

As you can see, the ledge is quite wide, but there's still something that isn't quite wired up quite right in the head of somebody who would climb onto it, 48 floors above the pavement.

None of this quite compares with riding through central London, on a black bike, dressed from head to toe in black clothes. No lights, no helmet. Frankly, drivers quite often don't spot the cyclists who are wearing high-vis vests and covered in lights anyway, especially in the wet when London's many lights, and the reflection in puddles, make it virtually impossible for a driver to see what's going on around them.

I took an almighty tumble when a taxi driver who was indicating left and pulling over changed his mind in a fraction of a second, and decided to do a U-turn right in front of me. My rear brake was loose because of a buckled back wheel, and I was so quick and hard on the front brake that I went over my handlebars and busted my ribs, hip, ankle. The taxi driver didn't even see me. I jumped up and back on the bike, and carried on, and then this huge surge of pain hit me.

That could be a metaphor for my life, since losing my grip on stability in 2008. I take massive risks, but I jump up and carry on cycling after being completely obliterated. I push through the pain, knowing that stopping will only make it worse.

Tags: #bipolar #depression #suicide #mentalhealth #nhs

This is a story about maintaining a degree of freedom...

Which one of these faces represents your mood? What if there was a pill, powder, liquid or a gas that could take you from a face on the right, to a face on the left? Would you use it?

Apparently 90% of adult Americans drink coffee. That's a pretty amazing statistic, isn't it? Officially, there are 350 million Chinese smokers. That's more than the entire population of the USA. Every weekend, town centres across the United Kingdom are turned into warzones, with huge numbers of binge drinkers, taking themselves to the brink of alcohol poisoning, and even beyond.

That's just the stuff you can buy in shops, over the counter. You can walk down the road, 7 days a week, and purchase coffee, cigarettes and alcohol.

Now let's talk about prescription medications. In Tower Hamlets, the borough of London where I currently live, Prozac (Fluoxetine) prescriptions are rising at 8% per year. London issued 5.21 million Prozac prescriptions last year. Over 20% more Londoners are taking antidepressants than 3 years ago.

So, in all probability, somebody somewhere has got their hooks into you. Either you drink coffee, you smoke, you drink alcoholic drinks, or you take mind-altering prescription medication. You are owned by somebody. A proportion of your wealth and tax dollars are going on mind-bending substances.

The picture above is of a blade that I have managed to remove from a Gillette Fusion razor, and crudely bend into a cutting implement. It's actually pretty tiny, hence why I never noticed that it was still lying on the bathroom floor. However, it's easily big and sharp enough to slice open veins and arteries.

Wouldn't I be better off taking antidepressants, so that my mood doesn't sink so low that I attempt suicide? Wouldn't I be better off in a chemical straightjacket?

Given that I have no fear of homelessness and destitution, why do I need something that artificially props up my mood and allows me to function, when my natural mood is telling me that something is wrong?

What goes up must come down, and for every desired effect of a medication, there are one or more side effects. Often times, people will take a medication for one ailment, and then have to take another medication to compensate for the side effects, and perhaps even some more for further side effects. It's much like the old lady who swallowed the fly, who ends up swallowing a horse.

Ok, so my mood episodes are pretty brutal, but at least I have a clear clinical picture, in medical parlance. It's fairly easy for me and any clinicians to see what my mood is doing, as the water is relatively unmuddied by mind-altering substances.

So what is my mood doing? Well, it's yo-yoing up and down like an insane elevator operator. However, it pretty much follows the instability of my life. 7 or 8 months ago I was homeless, then I was living in a hostel, then I was living with an alcoholic and his unfaithful wife, then I was sofa surfing with a friend, then I was living in hotels during a time when just about every London hotel was booked out for the Rugby World Cup, and then I got a flat.

Jobwise, I had a 9 month contract, and then a 6 month contract. I'm working about 6 months in 12, with the chance to push that up to 9 in 12 if I can get my arse back in gear. It's not a very stable work environment though.

I spent about 15 weeks receiving inpatient treatment in 2014. That really was an annus horribilis. I was in hospital for about 8 days (2 admissions) in 2015. That's quite a big improvement. 2016 remains hospitalisation free, despite some fairly sketchy stuff that probably should have seen me admitted.

But you can't see the other data that I have in front of me. My alcohol consumption, my coffee consumption, my abuse of drugs & medications... all of this is going through a radical transformation too. From regular and massive binges on wine & beer, coffee to prop me up in the mornings, drugs and medication to while away the time inbetween jobs: I've knocked almost all of that on the head. Life is a lot more straightforward when you're not peering through a haze of mind-altering substances.

However, it's a little too straightforward. In terms of stress levels right now, I'd rather give up the responsibility of having a flat, bills to pay, a man to kowtow to. It might be cold and wet and s**tty weather outside right now, but I'd still rather be living in a tent and not looking at a stack of 8 box files full of paperwork I need to deal with.

Seems bizarre, right, to choose to be homeless, destitute? Well, I don't think it's any more insane than working your arse off to pay for your rail season ticket and pay for the mortgage and bills on a house you never get to spend any time in.

Personally, I just feel as though modern life is making me unwell, so I reject as much of it as I can. I do the bare minimum to keep the wheels turning, and otherwise I turn my back on the madness. I try not to be swept along by the current.

I know my mood will change, and I will feel differently about things during a different kind of mood episode. I'm not going to poke and prod at my mind though, and try and coerce it into taking on an altered perception of reality.

Tags: #bipolar #depression #suicide #mentalhealth #nhs

This is a story about self prescribing...

If you know what medication you want, you can cut out the middlemen and just buy it yourself direct from a country that doesn't have a rigid system of prescriptions, provided it's not a controlled substance, and therefore illegal to import.

I wrote about self medication through non-pharmacological mechanisms in a previous blog post entitled Self Medication (Part One) if you wish to refresh your memory.

Going GP -> Psychiatrist -> Pharmacist is actually quite a slow process when you're trying to find a medication that works for you. Also, many medications are only licensed to treat certain illnesses, but there is sometimes a strong body of research that proves they are effective on other illnesses. Because of concerns about medical malpractice lawsuits, it's quite hard to get an 'off label' prescription, even if there is good data to support the use of a particular medication in your individual case.

So it was that I came to be experimenting with medications like Pramipexole (Mirapex), Bupropion (Wellbutrin), Cabergoline (Dostinex), Aripiprazole (Abilify) and even crazy ones like Piribedil (Trivastal). Results were a mixed bag.

The bottom line is this: you probably don't want to f**k with medication. Aripiprazole left me uncontrollably dribbling, and unable to speak without an unintended spray of saliva. Piribedil would cause me to fall asleep randomly, like a narcoleptic.

But, Bupropion works. It's a very effective, fast-acting antidepressant. However, it raises your anxiety levels, causes insomnia, panic attacks and exacerbates hypomania. It's not a good medication for somebody with Bipolar, unopposed by a mood stabiliser.

Messing around with medications was very dangerous, and I may have even put myself at risk of early-onset Parkinson's disease. Certainly, my later messing around with L-DOPA was on a trajectory leading to complete disaster.

It's about harm reduction though. Tea and coffee are on a stimulant continuum that leads to amphetamines and even stronger stimulants. Alcohol is on a depressant continuum that leads to benzodiazepines and even stronger 'downers'. If you have been using coffee & alcohol to self-medicate for your mood fluctuations, you will be driven to seek out stronger alternatives, when those substances no longer work anymore, or face a breakdown.

Eventually, you'll find that heroin is really great to help you sleep, and crystal meth is really great when you need to be awake and get stuff done. You don't want to end up there. Don't go there.

There are modern sleep aids like Zopiclone & Zolpidem, and newer wakefulness and concentration promoting agents like Methylphenidate (Ritalin) and Modafinil. Naturally, I experimented with these.

Ritalin, I found to be very much like cocaine. You want to take more but you're not sure why. You don't really feel like you're getting anything out of it, but you strangely find yourself taking loads of it. Dangerous. Elizabeth Wurtzel wrote a book called More, Now, Again which is amongst the literature that inspires my writing. However, it's simply not possible to snort 60 Ritalin pills, like she claims. That volume of powder will simply not fit into your nasal sinuses. She's right about one thing though: Ritalin is addictive.

Modafinil simply makes you awake, not happy. More time awake, unhappy, is really the very last thing that you want if you're depressed, so I discontinued its use and find no function for this wakefulness promoting agent, personally.

Zolpidem doesn't keep you asleep for long enough to be of any use. Sure, you fall asleep, but then you wake up again and spend the whole night with your usual insomnia. Useless.

Zopiclone works but it's a little too brilliant. Again, for somebody with Bipolar, waking up feeling totally refreshed simply stokes your hypomania to dangerous levels. It delays an inevitable crash, when the drug ceases to be effective at acceptable dosages, and insomnia leads to exhaustion, which leads to depression.

It's all available, out there on both the public internet and the Dark Web. It's a few clicks away for a middle class person with a computer and a postal address.

My parting advice is this: don't go there. Don't even look. Don't tempt yourself. Don't give yourself false hope. Don't experiment. I've done the experiments, and found nothing good there. The side effects just aren't worth it. The downsides outweigh the upsides.

There are no medicinal cures. There are no medications that 'fix' Unipolar Depression and Bipolar. It's an avenue not worth pursuing.

Sorry about that.

Tags: #bipolar #depression #mentalhealth