This is a story about preferential treatment...

If you Google Translate "Very Important Person" (VIP) into Portuguese, you get "Pessoa Muito Importante" (PMI). It seems like the Portuguese prefer the acronym CIP, but I can't find a definition of what that stands for.

Anyway, as well as getting to spend a couple of days with my friend, I also get to be his guest in the airport lounge reserved for frequent fliers. The big advantage of this is a comfy seat near a power socket, where I can do a bit of work, write this blog post, and otherwise kill time until my flight starts boarding, which won't be for a few hours.

Most of the conversation with my friend during Saturday, Sunday and today, has revolved around middle-class guilt and social conscience. Is it right, for example, that the most wealthy are able to hide their money in Swiss bank accounts and offshore, to shield it from taxation? As a proportion of a person's income or net worth, it's the poor who shoulder the biggest burden in taxes, fees and other things - such as exorbitant interest rates on loans - which prejudice the opportunities of the most disadvantaged members of society, to escape from poverty.

A friend who's a chartered accountant has decided to become an independent consultant, like me. We discussed the tax efficiency of owning and operating our own companies versus paying full income tax and National Insurance on our gross income. Surprisingly, we pay slightly more tax than those who are PAYE (Pay As You Earn) and have their taxes deducted at source by their employers.

Also surprising is the laudable decision of some of my friends who have been lucky enough to become wealthy, to not hide their wealth offshore or in Swiss bank accounts - they're paying their fair share and playing by society's rules; they're giving back to the economies which they profited from. You might say that "laudable" is the wrong word, but there is a considerable burden involved in the administration of complex tax affairs, and the bureaucracy of ensuring that governments receive all the taxes which they are due. Often times, it would be far easier to avoid taxes than to pay them, because there's a whole industry which profits from providing simple and convenient services to the wealthy.

Are we being philanthropic; altruistic? No, of course not. The thing that's driving our behaviour is guilt. We feel guilty that we have been lucky when others have not been. Paying taxes doesn't absolve a person of that guilt, but deliberately avoiding taxes is something extra that the lucky ones should feel guilty about.

What about giving money to charity? Does that absolve a person of the guilt they feel about their fortune in life?

The problem is that a clean conscience can be bought very cheaply. A seemingly large charitable donation might actually be only a tiny fraction of a person's net wealth; a bit of 'disposable' income that wouldn't be missed at all. Even more perversely, tax rules can make a rich person's donation of "pocket change" look like a significant act of philanthropy, while a poor person's unavoidable tax burden is by the far the greater contribution, and yet not recognised as such.

Then, there's the protective bubble problem. If you work on a secure campus or private estate and live in a gated community, you're largely insulated from seeing poverty, homelessness and disproportionately protected from becoming a victim of crime. In fact, just living in a wealthy country, you're insulated from the global wealth disparity created by the subsidies, import tariffs and other economic weapons which are employed to keep the rich rich, and the poor poor.

After 3 days of chatting, my friend and I arrived at the conclusion that we'd have to go through 3 generations of misery to reach a state of global equality and social justice. When I say "we" I mean mostly the wealthiest 2% of people on the planet, which my friend is convinced we can count ourselves amongst; he and I.

How can I disagree with him that I enjoy a life of wealth and privilege which 98% do not, when I'm sitting in a leather chair typing these words on one of my 5 laptops, enjoying free electricity, free food & drink as well as having the leisure time to craft this valueless contribution to the internet's quadrillions of webpages.

It's OK though: I'm a CIP. I deserve preferential treatment.

Tags: #politics #economics #friends

This is a story about the values you raise your children with...

It seems like I have had the sentimental attachment most of us feel towards everything we revere in society systematically thrashed out of me. If you pick one thing that summons feelings of safety, security, comfort, respect for authority and faith in the divine/spiritual, then I will tell you how exactly how I came to question everything: every institution, everything sacred, every tradition, every profession, people who are normally considered beyond reproach and ultimately even existence and its purpose.

Starting with my birth, I'm literally a bastard. I was born outside of wedlock. My parents never married and always planned to remain unmarried, such that I took my mother's surname instead of my father's. Ironically, my mother had once been married, and I have the surname of her ex-husband instead of her maiden name. Confused? Imagine trying to explain that to your fellow pre-schoolers when you're 3 years old. I didn't really understand it at the time, but I understood that I was different; unusual.

My schools would often address letters intended for my parents to Mr & Mrs Grant, and my father would always tell me that I was the only Mr Grant in the house and therefore the letter was addressed to me. My mother would tell me that she was no longer Mrs Grant and she was Ms Grant. "Why not Miss?" I would ask, and she would explain that she had been married, and Miss was only used by women who hadn't been married. If anybody telephoned the house and asked to speak to Mr Grant, my father would hand the receiver to me and say "it's for you", which it never was, of course.

I understood that there was divorce and some of my school-friends were raised by a single parent, or a step-parent. My peers would often ask if my father was my step-father, to which I would reply "no". Nobody could understand how I came to have a different surname from my biological father, or entertain the notion that I could have been given my mother's surname, not my father's.

At some point, a fairly clear question formed in my mind: "why aren't my parents married?". 

The reasons why people get married had become quite clear in my mind, for the very simple reason that I had endured years and years of people's reactions that suggested that not getting married was very atypical behaviour. Nobody wants to feel unusual; freakish. Nobody likes to feel odd.

When I posed my question - "why aren't you married?" - to my parents, they replied with their own question: "why should we get married?". I had a pretty easy answer for them, as I've explained: because that's what everybody else does. "Do you want to be like everybody else?" my parents asked. "Yes" I replied.

[I just burst into uncontrollable sobbing. If it wasn't what you experienced, I don't think you can begin to understand what it's like to spend your entire childhood as the freakish weirdo; the odd one out... the one who's different from everybody else]

Having covered marriage there is a natural segue into the topic of religion, and the origins of my atheism.

For a number of formative and important childhood years I lived in an attractive terraced house in an area called Jericho, on one of the most desirable roads in central Oxford. These houses are the most expensive in the world, far exceeding real estate prices in London, San Francisco and Hong Kong, in terms of their affordability. However, these £1.5 million houses were bought by the first wave of gentrifiers, when academics and young professionals with families started to move into slummy areas because they couldn't afford family homes in the more desirable parts of the city.

When your immediate neighbours include an MP, a barrister, a heart surgeon, a City banker and a number of promenant Oxford dons and professors, their children were raised in an environment which was knowledge-rich and encouraged the exploration afforded by a curious rational mind; critical thinking. Nobody went to church. My friends, whose father was a consultant at Oxford John Radcliffe Hospital, went to Quaker "friends meetings" occasionally, but my peer group - the sons and daughters of the intellectual elite - had little place for God and church in their lives.

We should rewind a little bit, back to the village our family lived in before we moved to central Oxford. If one were to imagine the most quintessentially English picturesque Cotswolds village, with the manor house, the village green, the workers' cottages, the post office and village shop, the village pub, the village school, one should not forget the church and its graveyard. The church's presence and influence is not to be underestimated. My religious indoctrination began as soon as I started school, with the vicar regularly present. Village social events are very often church-linked, like harvest festival, and of course everybody who grew up in such an idyllic village wants to get married in that particular church, have their children baptised there and be buried in that graveyard.

Essentially, the church's opportunity to exploit a child's vulnerable immature mind were scuppered by my father. For everything that the church had a comforting but incorrect explanation for, my dad cited a lack of evidence and instilled in me the skepticism which gradually became integral to my developing personality: "show me the evidence".

When we moved to the centre of a city whose university is globally recognised for its academic excellence, I never encountered another simple-minded fool who had been persuaded to believe in Gods and other aspects of religion, which are so obviously irreconcilable with the pursuit of knowledge. Religion encourages ignorance but I had been raised to question everything and remain skeptical until I had seen convincing proof. "What are atoms made of?" I remember asking one of my friends who lived on my street. "Quarks" he replied. We were perhaps only 5 or 6 years old - the product of a childhood immersed in academic culture, as opposed to the sentimental and traditional.

The disturbing and unpleasant consequences of an irreverent life can impose themselves on a child at a worryingly young age. I've already been uncontrollably sobbing about just one thing - the tradition and sanctity of the institution of marriage - and I haven't even mentioned how a child deals with the concept of mortality and threat of death without the comfort of religion.

A US Air Force pilot who drank at the village pub which my parents later bought and now live in, drunkenly boasted about the ability of the United States to wipe humanity off the face of the earth. I was definitely no older than 4 years old. With my friend with whom I had discussed subatomic particles, we talked about the temperatures which could be reached near ground zero of a fission or fusion nuclear bomb, and how the radiated 'heat' (electromagnetic radiation) had instantly vaporised human beings in Hiroshima and Nagasaki, with only their shadows left behind, permanently etched into the walls of buildings.

If you believe you live in a Godless world with no afterlife you naturally want to know what everything's made of if God didn't make it; you want to know why it's here. How did it get here? Why is it here? You start to pick everything to pieces by iteratively asking what each thing is made of: humans are made of cells, and cells are made of molecules, and molecules are made of atoms, and atoms are made of quarks and leptons... and you can in fact keep asking the question. There's good proof that the electron is not a fundamental particle, as had originally been thought.

When your schoolmates are smart-arse little shits, because their parents are brilliant academics, teachers and school loses its awe and authority. If you're being taught science that's almost 100 years old, and sometimes even 200+ years old, the whole exercise is nothing more than a box-ticking exercise to be endured.

The other thing to consider is that my parents used illegal drugs on a daily basis, and had strong views about the legitimacy and usefulness of the law, certainly in the instances that suited their own addictions. As with many drug users, they were very paranoid. They viewed the police as corrupt and not to be trusted - the enemy. My father's criminal conviction for drugs not only poisoned his views on the police, but also made him very anti-American, as he believed he would never be allowed to enter the country due to his criminal record.

[I'm crying again]

It was only because of first-hand dealings with the police that my viewpoint changed from skepticism due to lack of evidence: the police had never caused me any harm, and in fact I had never had any dealings with the police at all for most of my adult life. You might be surprised to learn I adore and respect the police. My accumulated experience of police encounters has consistently shown that they are some of the most kind, patient, empathetic, forgiving, reasonable people, who have always gone out of their way to bend the rules and simply help as opposed to ever enforcing the letter of the law.

One shouldn't mistake my respect for the men and women of the police force for reverence. I would never for a minute expect that a 999 call is somehow going to be the answer to my prayers. I don't feel safer or more secure, knowing that I can call for police assistance. I wouldn't feel any more comfortable in a stressful situation if there was a police officer present. Of the very many police men and women who I have had first-hand dealings with, they have always treated me very fairly and kindly, and it's quite clear that they deal on a daily basis with a huge number of very vulnerable and damaged people, which they do so with incredible compassion - they are the living embodiment of humanity not deities who should be worshipped and revered.

[More crying]

So if I don't revere priests, vicars, teachers, headmistresses, marriage, religion, military superpowers, soldiers, the police, the law and my own parents, what else is there left for me to lack reverence for?

Cumulatively, I've spent almost 6 months having my life saved in hospital - often in high dependency and intensive treatment unit (ITU) wards. Shouldn't I revere doctors; surgeons?

I think that if there was one thing that would make almost anybody feel more secure and happy in a stressful situation, it would be knowing that there's a doctor present. It's such a clichéd question: "is there a doctor here?".

To explain my irreverence for doctors, we merely need to explore the reasons why I have ever had to deal with one, and the outcomes of those interactions.

Having been lucky enough to escape congenital abnormality, it doesn't take a rocket surgeon to figure out what I want from a doctor and why. You don't need to spend 5 or 6 years at medical school to know that the human body has been dealing with pathogens since the species first came into existence. You hardly have to be brain of Britain to figure out whether you're dealing with a viral, bacterial, fungal or parasitic infection, and furthermore, which is likely to be treatable. In actual fact, I've never been to my doctor for antibiotics: every infection has always cleared up on its own. Fungal and parasitic infections can be dealt with without a doctor obviously: head lice shampoo is available in every pharmacy, without a prescription, for example.

At the age of 28 I went to my doctor wanting treatment for depression, but I knew which specific medications I was prepared to try and which medications I didn't want because the side effects were not acceptable. Having my choices limited only to SSRIs provided firm evidence that doctors were an obstacle to be overcome, not a panacea.

When we think about the first time I was hospitalised, do you think I didn't know that I was going to end up there and what the problems were going to be? Do you think it was an accident that I ended up in hospital?

Again, you don't need to spend 5 or 6 years at medical school to know that the human body needs water, salt, glucose, proteins, amino acids, vitamins, minerals and myriad trace elements, or else the bodily functions haven't got the fuel, carrier fluid and raw materiels they need. You don't need to be a doctor to know that human body temperature needs to be homeostatic as much as possible - much like every other measurable thing in the human body - and any extreme variation too high or too low is going to have dire consequences.

When you are making choices in full knowledge of the likely consequences, medicine ceases to be lifesaving magic, and instead it becomes another simple case of what do you want and why?

One must consider the very last time I was hospitalised to truly understand my irreverence.

Not only had I quite carefully pre-planned my suicide attempt, when I arrived at hospital against my will, I gave very clear instructions: do not put activated charcoal into my stomach, do not perform gastric lavage, do not intubate, do not provide life support and most importantly of all, do not resuscitate. "Do you know what's going to happen?" the A&E doctor asked. "Yes. I'm going to die of a combination of organ failure and serotonin syndrome, with a lot of seizures" I replied. "Do you think you'll be unconscious? Do you think it'll be painless?" the doctor asked. "No. I expect that it will take a long time to die and I'll be conscious and in a lot of pain for most of it" I replied. Then I started having seizures.

Doctors see a lot of people who are scared and they don't understand what's happening to them. They're desperate for somebody who seems to know what they're doing and what they're talking about; doctors are an authority figure. I have no doubt that for feckless simpletons and those who lack access to medicine, the arrival of a doctor or a priest/shamen/witch-doctor is incredibly soothing and comforting. If you don't know what you want and why, your reverence is misplaced, but it may still ease your passage from life to death.

When shit goes bad, who are you going to turn to? If you have to pick your team of people to survive on a remote island, who are you going to pick and why?

Why revere anyone? Why kiss anyone's arse and tell them they're great because they did the study and training that you could've done if you wanted to. You could have passed those exams. You could have gained those qualifications. You could have followed that path if you wanted to. If you wanted it bad enough, you could put on that uniform; you could get that job title; you could prefix or suffix your name with the bit that tells the world just exactly why everyone should drop to their knees and worship you.

Nothing's sacred to me. I could do your job if I wanted to.

I'm not smarter than anybody. I'm not better than anybody. That's the whole point: I'm lucky enough to not have anything that's holding me back; limiting my potential.

I really don't recommend telling your kids they can follow their dreams and be anything they want to be. I really don't recommend telling your kids to question everything, and understand everything about how the universe works, to the point where they reach the very bleeding edge of scientific research. I really don't recommend raising your kids to challenge the status quo and resist the urge to fit in with wider society and their peers.

Take it from me: there's a mind-destroying kind of cold uncaring "nothing matters" bad feeling that comes from being too rational; too much of a free-thinker. Take my word for it: understanding the absurdity of existence will destroy your mental health.

You should probably experiment with hard drugs. That's probably way less likely to fuck up your life than going down the rabbit-hole of picking everything to pieces and trying to reason from first principles and pure logic.

Tags: #philosophy #childhood #parents #oxford #physics #hospital #depression #suicide

This is a story about relationship strategies...

If somebody treats you really badly, break up with them. If somebody is disrespectful about the times in your life when you nearly died, break up with them. If somebody makes character slurs and generally trash talks you, break up with them. If somebody talks shit about you behind your back, break up with them. If somebody treats you like a second-class citizen - like there's something wrong with you - then break up with them.

I really can't recommend it enough.

In fact, sometimes I don't know why I don't do it sooner, when all the warning signs are there. When somebody starts getting abusive and horrible and vile and disrespectful and insulting, and starts to say humiliating and untrue things, those are the warning signs. When somebody implies you're broken and you need to be fixed; that you're faulty; that you're a freak... that's a warning sign.

I really can't urge you strongly enough to break up with those people who give off those warning signs.

If somebody's not introducing you to their family, but they're happily talking about you behind your back; if somebody's talking about you behind your back with their work colleagues; if your emails and text messages and other things like that are getting shared behind your back; if they're stalking you and gossiping about you and generally judging you, comfortable and cocky in their gang, while you're completely isolated and alone.... break up with them.

I can't emphasise this enough: if it feels wrong, break up with them as soon as you can.

Nobody could accuse me of not working really hard at my relationships. Nobody could accuse me of not being tolerant and kind and having a range of different strategies to deal with the various ups and downs of a relationship. I've had relationships that have lasted years and years. I've spent more of my adult years in a relationship than I have single. I know about relationships.

My big mistake has been in trying too hard to make things work with bad people.

Bad people are the ones who make us feel distressed and humiliated; who make us feel worthless; who make us feel insecure; who make us feel like we're a freak or a weirdo. Bad people are the ones who tell us we should be grateful to have a partner, because nobody else would have us. Bad people are the ones who keep bringing up the worst things that happened to us, again and again and again and again. Bad people are the ones who imagine us at our worst, rather than seeing our full potential and imagining us at our best.

Bad people will attack the thing that's most precious to you, and pick on you using your most intimate vulnerabilities.

If somebody's reading the really personal stuff I choose share - because I'm brave - and using it against me, they're a bad person. If somebody is taking advantage of the fact I'm vulnerable, they're a bad person. If somebody's got a problem with my blog, which is 3 years of daily writing and 900,000 words - it's my labour of love - then they're a bad person.

I was very angry and hurt about the way I was treated by a bad person. I'd let things build up. I should have broken up with them sooner. I should've walked away. I let things build up, and then the distressing, humiliating, traumatic, threatening, alarming aftermath, where I was ganged up on... that was truly awful.

I should've broken up with them before things got so emotionally charged. I should've broken up with them before I ended up - unfortunately - with a lot of unresolved resentment and pent-up frustration about the unjust and horrible treatment I'd been a victim of.

I've got a lot of work to do. I have to repair the damage to my blog - done by threats and intimidation, unwanted visits, stalking, harassment. A lot of damage was done to my blogging project by that horrible person and their gang, and I have to repair it, because my blog is the thing that keeps me alive; it's my proudest achievement.

I need to find my voice again: The voice that isn't tainted by the distress I've been feeling; the voice that isn't controlled by the threats and intimidation: My voice.

Tags: #writing #relationships

This is a story about being unhinged...

A highly paid civil servant decided to doodle this cock onto a poster which was affixed to the toilet door, at a government agency which is responsible for the collection of £6bn in taxes per annum. You'd have thought that the kind of people who clear the stringent security vetting wouldn't be the types to do graffiti in toilets, especially the toilets at the highly secure office.

There's nothing in writing yet, but I'm getting the shove... services no longer required. Project delivered, happy client, but there isn't another project at the moment, and I'm quite expensive to have sitting around doing nothing, although the banks I've worked for have never seemed to care much about that.

It's the worst-case scenario. Contract has finished early and no extension. Nothing that's very appealing in the local area; not a lot of choice... in fact, pretty much just one contract I could apply for, which I'm pretty sure I'd hate.

If I go on my holiday instead of working, I'll lose £3,000 of potential income. That's a helluva expensive holiday, when I could just write off the £600 it cost me for the flights and accommodation. Should I work that week, and use the extra money to go on a holiday which'd be much more suitable for me now I'm single? Should I work that week and simply go on a better holiday, to cheer myself up? Should I work that week and be sensible, and save the money, given that I'm about to lose my income?

What have I got now? No girlfriend. My car is about to be declared unroadworthy. No job. I've only got 2 friends in the local area, and one of them I haven't seen for 6 months and the other I've only met twice. All my money is earmarked for debts, rent and bills. I have no surplus which I can use to have an unplanned break from work - I need another contract.

Wind back to September 9th 2017 when I tried to kill myself. Why did I go through that hospital treatment to save my life and restore me to physical health? Why did I go through that psychiatric treatment, to make me safe to release from hospital? Why did I go though the stress of moving to yet another city where I don't know anybody? Why did I work my arse off and have the misery of living out of a suitcase, staying in a different AirBnB every week? Why did I work my arse off getting security vetted and landing a cushy public sector contract? Why did I spend every spare penny I had getting a car and an apartment? Why did I wine and dine and generally woo and wow a girlfriend? Why did I bother? Why did I think that I'd get anywhere; that I'd make any progress; that I'd ever be able to get ahead in life? Why did I think I'd ever be happy; content?

I'm not sure if I'm a danger to myself, others or both. I'm unhinged. I'm mad. I'm deranged, demented and disturbed. What the hell am I going to do? How the hell am I going to react? Who or what am I going to blame?

Desperate people who believe they have nothing to live for - that their lives are not worth living - are dangerous, aren't they? Can you think of anything more dangerous than somebody who's got nothing to lose?

Fear of consequences is the thing that keeps our behaviour 'in check'. What possible consequence could be used to threaten me or control my behaviour? Why on earth should I behave myself? What reason have I got to give a damn about consequences? I've got nothing to lose.

I've played by society's rules and it's gotten me nowhere because the game is rigged. I've conformed and complied and it's been to my detriment, because there are so many who lie and cheat and break the rules. I had hope and I had things that I didn't want to lose, but now I don't. That's a dangerous situation. That makes me a dangerous person.

I'm liberated. Too liberated. Too liberated for society to tolerate... depending on my completely unpredictable behaviour.

Should I be locked up?

Tags: #suicide #career

This is a story about looking after living organisms...

My drooping castor oil plant is the perfect visual metaphor for what's happened to both of us in the best part of a week - we've been dying.

I can be a little paranoid, even in perfect health. I wouldn't - for example - walk around naked without the curtains or blinds fully closed, even though there's a fairly small chance that somebody might get an eyeful of full frontal nudity, unless I was stood right by the window for ages. My ex-girlfriend throws open her bedroom shutters, often times much improving the day of the workmen retiling the roof of the house opposite. Something like that would change my behaviour, but not her - even with hard concrete evidence that a little paranoia is justified, she continues to flash her knockers at strangers every morning. There's also a school opposite her house too, so it'd be just my luck to end up on some kind of police register because an eagle-eyed kid caught a glimpse of my willy as I darted past the window to get my garments and cover up.

The blinds in my bedroom are shit - as I've said before - and one thing that's really bad is that they offer even less privacy at night, when it's light inside and dark outside. I'm not exactly thrilled at the thought of putting on a light and shadow show, which would unmistakably advertise to my neighbours that I'm having a wank to pornography. It's bad enough being single again, but most of us reserved Brits are a bit ashamed of our masturbation and porn habits.

Just ask somebody to show you the history of everything they searched for on a porn site, and you'll see that it's not just me who's the paranoid prudish freak: there's something so personal and confidential about the porn that you like and the words you use to find it. When you're searching in the privacy of your own home, with nobody looking over your shoulder, you assume that nobody will ever see those words other than you. It's one of the most unpleasant experiences to have somebody judge those words you typed, especially as nobody else was ever supposed to see them.

So, I can be paranoid, even at the best of times.

Sleep deprivation, dehydration and hunger can take a little seed of paranoia and turn it into fully-blown bat-shit insanity.

My windows were taped up so nobody could see in. Then my doorbell started ringing and ringing. I could hear my landlord hanging around. I could hear footsteps right by my bedroom windows. I could see silhouettes of people standing right by my bedroom windows. "Fuck!" I thought "what am I going to say if he knocks on the door and asks why I taped up the windows?". So, I stayed awake all night, watching shadows and not wanting to use the rest of my apartment or turn on a light. So far as anybody could've guessed, I wasn't in.

If you're "not in" you can't flush your toilet and you can't run the taps, and you have to rely on night vision and tiptoeing around, feeling your way as you go. If you're "not in" you can't be spotted through your absolutely massive windows in the living areas, which you can't draw the curtains of, because that makes it look more like you're at home, just not answering the door.

If you're "not in" and you can't flush the loo - which is right by the communal hallway - because you're paranoid somebody'll hear it, then you can't drink too much. Besides, you can't be seen filling up a glass or a bottle, through the massive window right by the sink, especially when the landlord's main hobby is hanging around by people's windows.

If you're "not in" you can't go and prepare yourself a delicious hot meal - again because you don't want to be seen or heard.

Eventually, you get like my wilted plant. Your body starts to eat itself, which would be OK ish if you were drinking to get rid of the excess creatinine by pissing it out, but you're not pissing because you can't and you're not drinking much. All that shit in your blood which your kidneys would ordinarily filter out hasn't got any carrier fluid to push it though the filter and into the bladder, so your blood gets really toxic. Your muscles start getting damaged, and the bits of damaged muscle block the tiny 'filter holes' in your kidneys, and then you couldn't piss even if you wanted to - you're blocked up; kidney failure

Once you end up in urinary retention, your body will get waterlogged, but the most worrying thing is that your potassium levels will keep rising until your heart stops, because there's no way to get rid of it and it's hard to have a potassium-free diet. Anything over 5ml of potassium in a litre of your blood means you're at pretty imminent risk of a sudden cardiac arrest. You've only got 5 litres of blood in your body, so that's 25ml of potassium. And yes, this is potassium not potassium cyanide. Bananas would be a bit of a shit way to kill yourself - you'd have to eat 51 plus extras because your body is not 100% metabolically efficient. Avocados could be a good novel suicide method though - you'd only have to eat 23 of them to reach hyperkalemia. Ironically, replacing your salt with "healthy" low sodium salt could be a fatal mistake, and it'd certainly be a lot easier to swallow a few of spoonfuls of salt than eat more than 50 bananas.

So, anyway, I started pissing blood, but at least I was pissing. It's when you stop pissing, you've really gotta worry.

I got brave and went on a raiding mission to my fridge where my friend had left me with two bottles of fizzy drink. I treated it like my ex-girlfriend's lack of paranoia about people seeing her tits when she opens the shutters - I was so quick, that I minimised the chance of being seen.

I then had to shake up the drinks and really really slowly let the gas escape, because I can't stand the bloated burping they cause... but, my body had a sugar boost and much needed fluids.

I hadn't slept for two nights at this point, and I was too paranoid to rummage for food which could be eaten cold - I knew everything in the fridge had gone off, and there simply wasn't anything that I could eat without cooking.

I passed out for a couple of hours and when I came to, I had no idea where I was. I was uncontrollably shivering: my body just hadn't had the calories it needed to power my cells and keep my blood at a toasty 37 degrees centigrade.

I wrapped myself in my duvet and warmed myself up as best as I could, but I'd ripped though the soft drinks. In my boldest and most daring feat of anti-paranoia bravery - perhaps with that time unconscious giving me a 'rest' and a sugar boost from the fizzy drinks - I grabbed two bottles of squash and a can of baked beans. I made 3.5 litres of very weak squash in the bath, where I couldn't be seen, although the noise of running water was a concern... but the bathroom is at least a door further away from the front door than the toilet.

As I guzzled a seemingly inexhaustible supply of weak squash, I told myself "this is the best lime cordial I've ever tasted". I greedily scooped cold beans in tomato sauce out of the can I'd grabbed, and I had to pace myself, because my stomach had shrunk so much after 4 days not eating. Also, I had to remember to chew - I was so desperate to fill my stomach that I think I could've just gulped the can down, like lumpy soup.

The food and drink started to vanquish my paranoia, and I moved away from the bedroom door, where I had been a sentry for 5 nights. I lay in bed snuggled under the covers, and my exhaustion finally revealed itself to me - I was trying to write a few messages to say I was OK, and I probably didn't need to go to hospital cos I'd sorted myself out, but I'd keep falling asleep and being woken up by the sound of my phone dropping onto the floor.

I had a longer, warmer, more comfortable sleep in an actual bed, and when I woke up my paranoia was vastly diminished. I felt brave enough to turn lights on, have a shower, use the kitchen and generally no longer have to pretend I was "not in". I was also famished and I desperately wanted to eat a hot meal and use a spoon or a fork, and a plate or a bowl, instead of a laminated business card as a makeshift way of getting beans out of the can and into my mouth.

My bedroom looks every bit like it's been lived in for 5 days by a person who's too paranoid to leave, turn on a light or flush a toilet, but that's a problem for tomorrow. Being well enough to go into the office on Monday looks dubious, but I don't look as bad as I thought I did. I'm overwhelmed by the prospect of sorting out my bedroom, but perhaps I can get a pro-cleaning team to give it a proper deep clean and a decorator to tidy up the marks on the paintwork, where I stumbled into a wall in the pitch black, while sleep deprived, dehydrated and hungry.

I'm so sad that my life was so close to almost perfect - a holiday booked, plans to go sailing and a girlfriend who was alright when she was being nice, rather than trying to unmask me as some kind of god-knows-what, by asking the same rude, impertinent questions that insinuated and alleged that I'm Hitler, Stalin, Osama-bin-Ladin and every serial killer who ever lived, all rolled into one. I would've got away with it, if it wasn't for her pesky asking the same identical question over and over again. Actually, I dumped her - you can't treat a person like they raped, tortured and murdered their whole family, by constantly making untrue horrible allegations about past and future. I really see no justification for being horrible, assuming the worst and treating a person like they'd smash up all your stuff and burn your house down unless you told them not to and supervised them at all times.

So: situation vacant. I'm looking for a girlfriend who doesn't say "don't murder anybody today" instead of goodbye in the morning. I'm looking for a girlfriend who sees my potential, trusts me, respects me and imagines me at my best, not some over-active imagination version of me at my worst. I value loyalty and tactility - somebody who likes hugging and snuggling and spooning - and I have a very strict 3-strike rule if you use withholding of affection, silent treatment, sulking and other negative behaviours which are abusive, instead of a combination of physical reassurance of the bond, and non-aggressive communication.

I'm gutted, because I'd almost taken my 'conversion project' and turned her into somebody who wanted the same kind of secure, loving relationship, packed full of affection. 99% of the time we had a nice time, and when she was being shit with me, we never had an argument... I taught her how to use affection to produce a more effective and quicker resolution, instead of passive-aggressiveness, open hostility, arguing and withholding of affection.

I'm gutted, because I'd been generous and attentive and taken my time in the bedroom and turned her into a little sex addict. We had a good sex life. Not every girl can relax enough and forget the lazy and incompetent lovers of the past, so she really wants sex and initiates it, because of the months and months of investment, making sure she's super satisfied every time and spending lots of time on the pre/post affection aspect, which is arguably the most important thing... way more than a rushed bit of foreplay, ram it in dry, two pumps and a squirt and then immediately roll over and go to sleep.

I'm actually angry I had to dump her, because rules are rules and the last couple of times I didn't stick to my rules, I got domestically abused. I'm a sensitive guy; vulnerable; I'm emotionally unguarded and I leave myself exposed, because it creates a much more bonded happy relationship than two people who just make smalltalk and never really know each other and what they want.

I feel so much more upset about the breakup, because it's a really small city I live in, and it's hard to find somebody who'd love nothing more than to watch an arthouse movie, or eat something really exotic. It's really hard to find somebody who's cultured and well travelled enough to feel like a good match. Damn, I'm fussy, aren't I?

I also feel 100x more alone, even though it's just one person, and I still have local friends Gail and Liam, plus my sailing buddies (only met one - and I work with him) and all the people I work with, some of whom are proper friends too.

It's kinda 'final straw' stuff though. Life's so hard on your own. Everything's easier with two of you, backing each other up.

I haven't got the energy to woo another girl and go through that super intense bit at the start again. She's really pissed me off, that I wasted so much effort, only for her to make yet another horrible allegation, and crossed the threshold - I spent 8 years in a relationship where somebody spoke to me like shit, and it was hell on earth. Walk away. Walk away. Walk away.

I really think I'm going to suffer without regular hugs and cuddles, and reliable companionship. It's a bit like plant food - they don't need it, but it does make them thrive.

Anyway, that was most of the past week. Please look out for me; I'm super fragile.

Tags: #paranoia #relationships #sex

This is a story about it being all in your mind...

Uncontrollable shaking, jaw chattering, nausea, insomnia, restlessness, chest pains, elevated body temperature and sweatiness, breathlessness, diarrhoea and stomach cramps - it sounds like I'm physically sick, but I'm not. I genuinely believe that there's no physical reason why I'm experiencing all these symptoms. It's all in my head.

My symptoms are not due to disease, medication, drugs, alcohol, injury or any tangible physical thing. A medical examination - purely physical - would conclude that I'm in good health.

Why do I feel so damn awful then?

It's been months since I stopped taking the addictive sleeping tablets. It's been months since I stopped taking the addictive painkillers. It's been well over 6 months since I stopped taking the addictive sedatives and tranquillisers. It's been about a year since I stopped taking the stimulant I was addicted to. It's been over a year since I stopped taking opiates for the pain in my ankle. I'm completely clean and I recently had 5 days of sobriety, to prove that I hadn't become alcohol dependent and give my liver a break from the booze.

From what we understand of addiction, there are physical addictions, which we treat with substitute prescribing because the physical symptoms are too awful for addicts to withstand, and there are psychological addictions, which are just a lack of willpower and an indication of moral deficiency and bad character. We understand that psychological addictions are easy to deal with - just quit cold turkey and get over it.

It upsets me that I've done all the hard work of getting off at least 8 addictive substances, with 7 of them considered to be physically addictive, but the 8th still has a psychological hold on me, somehow... 1 year later. That's not supposed to happen. In the textbook, once you quit drugs your life becomes amazing and brilliant and perfect and you never look back. Certainly, the textbook will tell you that physical addictions are real addictions, and psychological addictions are not real addictions at all - they're all in the mind.

So why is it that I'm so sick?

If it's all in my head, why do I feel so nauseous?

If it's all in my head, why is my body shaking uncontrollably?

If it's all in my head, why are my symptoms so manifestly physical that other people can notice them?

Addicts are taught to hate themselves. We're told that we're bad people; that our problems are all our own fault. We're told that we have bad character; we're weak; we lack the moral fibre to buck our ideas up and behave properly. We're told that we're worthless scum... worse than worthless, in fact - a menace to society and death's too good for us.

How can it be then, that I've done all the right things and proven my worth to society; I've proven that I can white-knuckle my way through cold turkey and get clean from not just 1 addictive substance but 8. I've done all the right things, but there's still very a real and tangible physical manifestation of my addiction, which isn't supposed to exist because any residual addiction that I still have is psychological apparently.

It upsets me that I've done all the hard work and proven that I've got incredible willpower, yet this psychological problem with physical manifestation still plagues me.

With my bipolar disorder, I have to be very careful to manage my stress levels, make sure I get enough sleep, have a good routine, eat well and generally look after myself, but I still suffer bouts of depression and episodes of mania. I have to be very careful to not get carried away when the early warning signs of mania and the triggers are present. I have to struggle an incredible amount to hide the fact that I regularly have debilitating depression and suicidal thoughts.

With addiction, we're told that there aren't any tablets to treat it, unless it's a physical addiction. My kind of addiction has supposedly been cured, because I've used the only treatment option that's available: willpower. For over a year, I've managed to control my addiction to my substance of choice, by simply willing my addiction to go away.

It seems a little remarkable to me that I've managed to rebuild a lot of my life and I appear to be a very functional fine upstanding member of society, but yet I'm sick enough to cause concern to my nearest and dearest. How can I be so sick when I've been doing all the right things? How can I be so sick when I haven't done anything wrong? I've followed the textbook to the letter, but reality does not correlate with the wishful thinking you find in the textbooks.

In a perfect world, I'd disappear for a month and go lie a beach in a hot country. In a perfect world, my income would be secure. In a perfect world, I wouldn't have Damocles' sword dangling over me all the time. In a perfect world, I'd put my health first and society's expectations and the unbearable pressures on me second.

This is not a perfect world. I'm trying to build a glider while falling off a cliff.

Tags: #addiction

This is a story about changing the law...

In 1920 in the UK, heroin and cocaine were made illegal to possess - if you were alive when heroin and cocaine could legally be bought and sold, you're 98 years old, or older. Assuming that becoming a drug addict isn't generally possible until you're old enough to obtain money, score drugs and get high without your parents noticing, let's assume that you'd have to be a 12-year-old heroin addict back in 1920, in order to have been affected by this change in the law, which means that you'd be 110 years old today, assuming you're still alive.

Having tried various antidepressants and mood stabilisers which were prescribed by my doctor, I became frustrated with the fact that most of the medications available to those who are suffering with depression, are slow acting - taking some 6 to 8 weeks to become effective - and they cause weight gain, sexual dysfunction and somnolence. Given that I valued my appearance, my sex life and my job, the side effects of the medications on offer were intolerable.

Through extensive research, I found many medications which are not commonly prescribed, but which had shown considerably better efficacy in clinical trials than the SSRIs and other antidepressants which were on offer through the NHS. These medications were not controlled substances, so I was able to legally purchase them from overseas pharmacies and have them delivered to me in the post.

My self-experimentation led me to a medication called bupropion - marketed as Wellbutrin - which is actually France's most popular antidepressant, but doesn't have a license for use as an antidepressant in the UK. Bupropion was very effective and fast-acting - it alleviated my symptoms of depression, and appeared to have no intolerable side effects. However, at higher doses I suffered insomnia and panic attacks. I discontinued its use.

Growing more desperate to find something as effective as bupropion - which had given me welcome and much needed relief from my depression - I turned to a group of medications for treating Parkinson's disease. These had terrible side effects, including a period where I became narcoleptic. Clearly my self-experimentation had become risky and I even induced in myself pseudo-Parkinson's symptoms briefly, which mercifully went away soon after discontinuing my experiment with L-DOPA, without lasting damage.

You have to understand that it was my desperation to feel better after years of suffering with depression and low mood, which drove me to take these risks and use myself as a human guinea pig. Given how suicidal I had been, there was only upside for me - if I died, that was likely to happen anyway through suicide; if I felt better - even briefly - then I had succeeded.

Through a tabloid newspaper, I became aware of legal highs. The tabloid newspaper's sensationalistic coverage of the legal highs was a great advertisement for something I hadn't known about or tried before. I was ready and willing to experiment with legal highs, given that I had already exhaustively experimented with all the medications I could lay my hands on.

The very first legal high that I obtained was bk-MDMA, also known as methylone. This chemical cousin of MDMA - also known as ecstasy, Molly, Mandy, X etc. - had similar properties but lacked a lot of the telltale giveaway side effects of MDMA, such as jaw-clenching and other involuntary mouth movements known colloquially as "gurning". Its mildly stimulating effects restored the energy and enthusiasm for life that had been stolen from me by depression - it was instantly curative, which is everything I'd ever hoped for.

bk-MDMA was made illegal in the UK in April 2010, but thankfully I was not addicted to it. No plan had been made to help any of the people who had become addicted to the legal highs, which overnight became illegal highs. No detox and rehab places had been made available. No medical support was available. No addiction counselling had been made available. Nobody thought about what would happen to all the people who had become addicted to substances that were completely legal one day and illegal the next. I was one of the lucky ones - I was able to abruptly stop taking bk-MDMA, but of course my depression then returned with a vengeance.

After 2010 followed a period of cat-and-mouse where those people who were addicted, or like me were self-medicating using legally available substances, were then driven out of dependency - not through choice - to then seek an alternative, which global free-market capitalism was only too happy to provide. Out of desperation, I obtained and experimented with every legally available substance I could obtain, in order to treat my medication-resistant depression.

Sadly, during this time I experienced total burnout due to the demands of my business, the collapse of my marriage and subsequent divorce, and other factors which put me at risk of addiction. In this perfect storm, I was careless and ended up experimenting with a substance which all my research had told me was exceptionally risky and should be avoided. Out of desperation I tried a substance I said I never would. It turned out to be fiendishly addictive, even though it was legal.

The cat-and-mouse game of making substances illegal - criminalising the unfortunate addicts caught the trade war - had absolutely nothing to do with health and public safety... I was one of the victims finally caught me in the net and criminalised, through no fault of my own. I had an addiction to a substance that had become illegal overnight, with nothing put in place to help me escape addiction's vice-like grip. No detox, no rehab, no treatment, no legally prescribed substitute, no medical advice, no support, no guidance, no nothing - I just woke up one day, and I was a criminal. I was wilfully and knowingly criminalised by my own government.

My attempts to stay on the right side of the law are documented above. Pictured are legal high packets of substances that could be legally bought until as recently as 2016. These could be bought in shops or via the internet. I attempted to find a legal substitute, so that my addiction did not make me a criminal, but even this route became barred to me. Addictions do not respect the law, just as much as you cannot make a law that says "all people called fred must by law become dogs" and POOF! suddenly all Freds magically turn into a dog - that's wishful magical thinking. One cannot simply legislate to get rid of addiction - addiction is an illness and it needs to be treated.

I'm not pro-legalisation. I don't think that all drugs should be legal. I think that drugs are dangerous. However, it's clearly immoral to criminalise an addict.

If I was committing crime - such as theft - to fund my habit, then I agree that those crimes have been crimes for a very long time. However, what is my crime? What crime did I commit? How did it come to pass that I'd become a criminal, with no opportunity to avoid it given my dependence on the substances in question?

The police, using their discretion, saw fit to caution me on multiple occasions for the same offence - namely possession of a controlled substance. Normally this wouldn't happen and breaking the law for a second time would automatically lead to prosecution, but perhaps the Crown Prosecution Service saw that as a test case, it would have set a disastrous precedent for their new laws.

The New Psychoactive Substances act of 2016 hinges on the central word: psychoactive. In order to obtain a conviction, it must be proven beyond reasonable doubt that the substance deemed illegal is in fact psychoactive. However, as anybody who has read the mighty tomes Phenethylamines I Have Known and Loved and Tryptamines I Have Known and Loved by Alexander Shulgin, will know that it's impossible to predict which substances will be psychoactive and which will not, without experimenting on a human test subject. Ethically it is not conscionable to experiment on humans, purely for the purposes of obtaining criminal convictions, but it's the only way that a conviction could viably stand under the government's new law - otherwise the test of beyond reasonable doubt cannot possibly stand because the burden of proof has not been met to prove the psychoactivity of a new and novel substance.

Today I'm clean and substance-free, but I have police cautions which will remain on record for life, and will not be 'filtered' until 6 years have elapsed, which prevents me from working in jobs which require an enhanced level of background checks. I cannot, for example, use my outdoor pursuits instructor qualifications to teach children to rock climb, abseil, sail dinghies or walk in the mountains. I leave it to the reader to decide whether my punishment is commensurate with my crimes, and what danger I pose to the general public.

I take a huge risk writing about this so publicly, but I feel that it's more important to publish this information than it is to maintain my privacy and anonymity. I feel sorry for those who, like me, have been criminalised by a government that doesn't give a damn who's victimised by their legislation, and whose lives are consequently ruined. I'm very lucky that I don't have a criminal record. Others have not been so lucky, because they are not so well educated and informed as me - they're vulnerable.

Drug addicts will always be a convenient scapegoat, because they're weak and vulnerable. I hope that in telling my story, you can see that addicts aren't evil, immoral and lacking in willpower. Our circumstances dictate the outcome - we don't make our choices freely.

Tags: #addiction #drugs #legalhighs

This is a story about primary care...

Primum non nocere is in and of itself a non sequitur because the use of Latin and other languages of classical antiquity is primarily intended to deter the hoi polloi from becoming educated. The number of doctors who are able to train, qualify and practice, is something that is tightly controlled in order to maintain high salaries - artificial scarcity - as opposed to allowing the unrestricted proliferation of medical knowledge which might improve the health of the nation.

Those who profess the Hippocratic Oath might be able to stay true to the vow they have sworn if they practice the treatment of acute illness in a hospital - dealing with curable disease and injury - but in the treatment of chronic illness in the community, as General Practitioners (GPs), can we say the same?

If we look at a few obvious statistics, we can see that medicine is failing. Average life expectancies have started to fall and chronic illness has seen a dramatic rise. There is an epidemic of mental health problems, and suicide is the biggest killer of men under the age of 45.

Of course, one might say that the root causes of these conditions are non-medical.

It occurred to me that a significant piece of the NHS has already been privatised, in that many general practice surgeries are owned and operated as private profit-making enterprises. This seemed to present a significant conflict of interest, so I decided to conduct an experiment.

I asked a GP a simple question: when you're treating a patient, do you think about their healthcare needs, or do you think about other things? The reply was shocking.

"It's not about [the patient] it's about everybody else"

I'd had my suspicions for a while - gathering plenty of evidence - that those who profess to do no harm might actually have been corrupted into serving other purposes; into betraying their profession and failing in their duty of care. This was the final confirmation that my worst fears were realised, and there are powerful actors within the healthcare system who place other things above the health of their patients.

By co-opting doctors into the capitalist profit-driven sector of the economy, and by co-opting them into the welfare system, we are asking doctors to choose between their luxury cars, the private school fees for their children, and other trimmings associated with their high social status, versus increased taxes to pay for the welfare state. By placing the most vulnerable people in society in front of the doctors, when seeking incapacity benefit, the government is pitting one group against another.

If the study of economics has taught us anything, it's that people respond to financial incentives. While a GP might argue that they're saving valuable taxpayer money, which might be spent on the NHS, by denying incapacity benefit to a vulnerable member of society, one must also admit that the GP acts in rational self-interest. Less money spent supporting society's most vulnerable means a lower tax burden and more money in the pockets of the profiteers, which include GPs who are partners in their practice.

The first principle of do no harm forbids a doctor from weeding out malingerers based on their best guess. To cut off somebody's incapacity benefit is definitely harmful, and there is no diagnostic test which could decide with a high degree of accuracy who is the malingerer and who is genuinely unable to work. If the doctor in question truly cares about their patients, they would have no option but to choose the option which gives most benefit and inflicts least harm.

We see so many suicides because patients are fobbed off with inferior treatment options, because it's a cheaper alternative to give somebody pills than to give them psychological therapy. While I understand that being cost-conscious might be seen as being pragmatic, it again violates the principle of do no harm. To fob a desperate and vulnerable person off with ineffective medication, when better treatment options are available, is tantamount to negligence. If a doctor has a consultation with a man under the age of 45, they must surely be well aware that suicide is the thing that is most likely to cause their death, and they should therefore treat it as a serious threat to their life. To call people's bluff and knowingly prescribe ineffective treatment is obviously the reason why suicide rates are so scandalously high.

I imagine that some doctors - although egotistical and in love with themselves - have a tiny piece of them that wants to make a difference and save lives. I think that exhaustion and the pressures that are felt by ordinary people are imposing themselves on doctors now, who are struggling to send their children to the best private schools (boo hoo) and are feeling compassion fatigued because of burnout. If we can relieve the pressure on GPs, they may become more willing and able to work in support of their patients' needs, as opposed to "everybody else" (read: being the government's job police).

I strongly believe that we have an urgent need to change primary care, so that it becomes not-for-profit, and patient healthcare can become the primary objective. Perhaps profits are not the primary motivator, but money has a corrupting influence which can be clearly seen when you speak to a GP who is/was a partner of a practice. Co-opting healthcare professionals into the job of coercing vulnerable people into bullshit McJobs, where they are exploited by the capitalists, has absolutely nothing to do with healthcare and is most certainly harmful.

I've witnessed first-hand how this care for "everybody else" - instead of patients - has become shorthand for the compassionless, sympathy-lacking, bullying, hectoring and suicide-inducing grotesquely twisted vision of so-called medicine, inflicted on society's most vulnerable people.

If you want to be the job police, and you think that suicides are an acceptable price to pay, so you can feel superior and send your kids to private school, perhaps medicine is not for you.

Tags: #nhs

This is a story about borderline personality disorder (BPD)...

If you've ever wondered about being detained against your will in a mental hospital - on a locked psych ward - then this is how it all begins... a 'section'. Being 'sectioned' means you're being legally detained under a section of the Mental Health Act (1983). The police can section you for 24 hours under section 136 of the Mental Health Act. After an initial assessment you might be sectioned for 28 days, under section 2. If you're assessed again you might be sectioned for 6 months, which is section 3. As you can see above I was sectioned under section 2.

I've been diagnosed and treated by 13 different psychiatrists. I've spent 10 weeks under lock & key on psych wards and a total of 18 weeks as an inpatient, receiving treatment for my mental health problems.

All the psychiatrists agree: I have bipolar disorder.

One unqualified doctor has been so bold as to ignore the fact that they completely failed their psychiatric long case, and ignore the fact they're utterly incompetent when it comes to making a sound mental health diagnosis. This unqualified doctor apparently read a book about borderline personality disorder and then tried to diagnose me, despite their obvious shortcomings and prior failures in the area of mental health. That pissed me off. That idiot doctor ignored all the years of evidence and the unanimous opinion of 13 specialist highly experienced and fully qualified psychiatric doctors, because their ego is over-inflated, and frankly, they're a bit of an idiot arsehole.

So. I have bipolar disorder. That's beyond question - it's been confirmed and reconfirmed. I've had a second opinion. I've had a third, fourth, fifth, sixth, seventh, eighth, ninth, tenth, eleventh, twelfth and thirteenth opinion.

I did not ask for a fourteenth opinion.

In fact, I made it expressly clear that I DID NOT WANT another opinion... especially one from an unqualified doctor who skim-read the first few pages of a book. Especially an opinion from somebody who I think lacks empathy and compassion for vulnerable people. People with mental health problems aren't safe around that unqualified doctor, who doesn't seem to have taken on board the fact that they failed their psychiatric long-case and are therefore unqualified to be practicing psychiatric medicine.

Furthermore, when we are thinking about a borderline personality disorder diagnosis we have to consider co-morbidity.

If a person is under a great deal of stress due to housing, job, finances, relationship and other external influences, it is not possible to diagnose borderline personality disorder, because of the co-morbid adjustment disorder. Adjustment disorder is just a fancy way of saying "your life is hell right now". Naturally, it's not possible to unpick mental health problems from the stress and anxiety that anybody would be feeling when their life's in tatters.

Just as a little reminder... I'd been through a breakup with my girlfriend, had to leave my apartment in London, move to Manchester, start a new job, I broke up with another girlfriend, tried to kill myself, lost my job, lost my apartment in Manchester, moved to Wales to live with strangers, ran out of money, got another job, went to Warsaw, went back to London and ran out of money again. That is more than enough stress to give anybody adjustment disorder, making any new diagnosis impossible. There is too much co-morbidity.

Also, when alcohol and drug abuse are co-morbid, diagnosis is impossible. This does present a bit of a paradox, because alcohol and drug abuse are quite often present in cases of borderline personality disorder, but they are also very often present in bipolar disorder too. There's a specific diagnosis for that co-morbidity: dual-diagnosis.

I know a lot about dual diagnosis because I spent 4 weeks in hospital seeing the country's leading specialist almost every day, and I continued to speak to that specialist regularly for a long time after I was discharged from hospital. While substance abuse was a problem in my life, my diagnosis was quite clear: dual-diagnosis (bipolar disorder & substance abuse disorder).

Finally, we must consider loss of status.

There are excellent data showing that loss of social status causes emotional instability. If you think about it, it's pretty obvious. Imagine that you lost your wife, your kids, your job, your house, your car, all your money, the respect of your friends & family... do you think your self-esteem would be intact? Do you think you'd be fine with that and you'd be carrying on with your life like normal? Of course you'd be emotionally unstable - it's a normal human reaction to that devastating loss of social status. You can't just say "it's just stuff" because it's not - it's intrinsic to your identity and your sense of wellbeing.

It's not possible to diagnose borderline personality disorder - also known as emotionally unstable personality disorder (EUPD) - when there are concrete and undeniable external factors that would contribute to a person's loss of self-esteem, social status and consequently make them emotionally unstable. It's simply not an appropriate diagnosis for somebody whose whole life has collapsed and is in ruins.

The arrogance of Dr Death to attempt to give an unwanted and unqualified fourteenth opinion, ignoring the unanimous verdict of thirteen highly qualified and experienced specialist doctors, is highly offensive and antagonising. This opinion was aggressively thrust upon me when I made my wishes crystal clear: "do not diagnose me, Dr Death, because your opinion is worthless unqualified irritating tosh that will only upset and anger me". The fact that Dr Death proceeded to do what the f**k they wanted anyway only serves to further prove how arrogant and lacking in any compassion they are... this is a person who's not even my doctor.

So, please don't play pretend-psychiatrist and give me your amateur diagnosis... I've spent 10 years in and out of the mental health system, and I've done extensive research of my own. Shove your crackpot theories about me up your ass.

I dearly wanted to get to the point where I've been symptom-free and medication-free for long enough to declare I'm 'cured' but for now I reluctantly accept the opinion of 13 very experienced and qualified specialist psychiatrists, who are experts in their field and highly respected. I accept their opinion - that I have bipolar disorder - and I reject f**king idiots who skim-read a few pages of a book and hardly know me. F**k off Dr Death.

I was disappointed to learn that I probably have type 1 bipolar disorder, not the milder type 2 that I thought I had, but I've had 6 months without medication and without an episode, so I seem to be managing the illness very well, especially considering the fact that I've moved 4 times, been in hospital twice, attempted suicide once, had 3 jobs, been through 3 countries, bought a car, narrowly escaped bankruptcy three times and finally managed to rent a new apartment and have a healthy happy relationship with a lovely girl. I mean... sheesh... that level of stress would send anybody insane, wouldn't it?

So...

I have bipolar disorder. That's it.

Tags: #bipolar

This is a story about insecure housing...

She said she wanted to be a widow. She marked my suicide note with red pen, filling it with abusive language. I didn't feel safe in the house with her - she would rage and kick and punch the door I'd put between us to protect myself. I was afraid to use the toilet or otherwise leave the room I'd barricaded myself in for my own protection. I wasn't eating. I wasn't afraid without good reason - she'd battered my face not once, not twice, but three times. She'd had her three strikes and I'd had to go to work saying "I walked into a door". I'd had to make excuses for her violence to her parents... to explain away my black eyes, my broken nose.

The abuse had caused me to start self-harming. Later, I started smashing stuff up. We had blazing rows, but, it was always me who ended up locked in the spare bedroom, afraid for my own safety. It was her who got stronger and stronger, while I got weaker and weaker; sicker and sicker; more and more afraid; more and more isolated. I was suicidally depressed and I was trapped. How was I going to escape this abusive relationship? Where would I go? I'd lost so many friends because of her. I'd lost my identity. I'd lost my self-confidence.

She said she'd rather that I died rather than go into hospital. I needed to go to hospital. I was suicidally depressed, but she said if I did go into hospital she'd divorce me. I said that it was life or death... that my suicidal thoughts were so bad I couldn't keep myself safe. She said she'd rather be a widow.

My friends in London took me in. They tried to keep me safe during an incredibly acrimonious divorce. They supported me. They cared for me. I stayed in their spare bedroom until the house was sold and the divorce had been through the courts.

Then I tried to kill myself.

I moved out of my friends' house and I immediately tried to kill myself.

I couldn't kill myself while I was living under their roof - it wasn't right, because they'd helped me so much. They'd helped me escape my ex-wife, but I'd lost my house and what little self-esteem I had. I'd nearly lost my new business. I nearly lost everything. I had just about enough money and energy left to move out, but then I tried to kill myself because I was jobless and sick, living in a shitty shared apartment in a crappy part of London. I was all alone.

Things got worse. The hospital discharged me into a hotel. I said I didn't want to go back to that town where my ex-wife lived. There couldn't have been anything worse psychologically than being forced to go back to that town where she lived. The hospital took pity on me. They discharged me to a hotel. I had 2 weeks to sort out my life.

Inevitably, I became homeless. It was impossible. I was sick. How was I supposed to navigate the complex bureaucratic nightmare that is the UK housing system? I was refused a hostel bed. I was refused supported accommodation. I was told I could get housing benefit, but no landlord will take somebody who pays their rent with "DSS". Housing benefit doesn't pay enough to rent a place in London anyway. What was I supposed to do?

I ended up sleeping rough in Kensington Palace Gardens, and later Hampstead Heath. I bought a tent and made camp in dense undergrowth far away from the main paths. I used all my expeditionary experience to hide myself and sleep under the stars.

I lived in hostels. The hostels brought me into contact with a social group. Socialising made me feel better about myself  - people liked me; I was popular. My self-esteem started to improve.

I rented a little room in a student apartment. It was cheap, for London. They were nice kids, but they were messy students - they were trashing the place. They were partying all the time. It was hard for a thirty-something man with a full-time job at a bank to mix those lifestyles. It was hard when I left the homeless community. It was hard when I transitioned from being homeless to re-entering civilised society. There was a culture clash. I lost most of my friends.

I went back to living in a hostel.

I rented an amazing apartment on the River Thames with panoramic views over London. It wasn't my idea. A friend thought it'd be a good idea to spend a hefty portion of my monthly income on a super-luxury apartment. "You deserve it" he said. Seemed like a good idea at the time. He wanted to live there rent-free, of course. Other parasites came, wanting to live there rent-free too. I found it hard to turn them down, because I'd been homeless. I was a soft touch. I was taken advantage of. I'm owed thousands and thousands of pounds in unpaid rent and bills.

I spent the best part of 2 years living in the same amazing apartment. It was stable, but it wasn't. I had to have an incredibly well-paid job to pay for the rent. It was well beyond my means when I wasn't working. When I was well enough to work, it was a nice reward for my efforts, but the pressure to maintain the lifestyle wasn't sustainable. I got into debt, just so that I could have a place to live and not end up back on the streets. Moving is stressful. I didn't want to have to move again. I had the threat of financial ruin hanging over me the whole time.

I took a contract in Manchester because it came with a relocation allowance - an apartment. I never wanted to live or work in Manchester, but I was desperate. Out of sheer desperation - I was almost broke - I accepted the job and relocated. I didn't know anyone in Manchester. I tried to kill myself.

Of course I tried to kill myself. It was all too much to bear.

I ended up in hospital in Manchester. Of course I ended up in hospital again. I'm so vulnerable; my life is so fragile. I needed that safety; that security.

A stranger contacted me via email to say they'd read my blog. Did I want to live with them in Wales, they asked. At the time, I was living on a psych ward in a dormitory. Of course I wanted a bit of peace and quiet; a change from the insanity of the psych ward. Of course I wanted a stepping stone to a better life... the revolving doors of the institutions and welfare benefits have little to offer, except for days spent dribbling while watching daytime TV, doped up to the eyeballs on incredibly strong psychiatric medications.

I rented another apartment.

The stress peaked and I wanted to kill myself. I thought that the local job was going to fall through, I thought that the apartment was going to fall through, there was conflict with some people. Everything was falling to pieces. The stress was too much to handle. I was going to kill myself.

The stress peaked and now I'm lying on my sofa writing this, in my own place. I've got my own roof over my head, which is affordable. I've got the things that most people take for granted: money, a place to live, a partner, a job, a car. I've still got stuff that'll take time to fix, but it's so much easier when your living arrangements are acceptable, rather than impossible. Living in a hostel is OK when you're unemployed and single, but I've tried working a 'straight' job while living in a 14-bed hostel dorm, and it's impossible... trust me on that one.

You might think I'm spoiled and privileged. You might think that it's unfair that things are working out OK for me, when there are so many people who have things so much worse than me. Vulnerability is vulnerability though, and I've been so close to death so many times. How many times have I been in hospital, in the Intensive Treatment Unit (ITU) or high-dependency wards? How many times have I been on the brink of bankruptcy? How many nights have I slept rough? How long have I lived in hostels? Do you begrudge me my recovery?

There's more work ahead. I still need to dig myself out of a hole. I'm not out of the woods yet. I ran up debts just staying alive, which I need to repay. I need my income, to allow me to pay down my debts and build up a financial cushion in case I get sick again. I've got bipolar disorder, which means depression, mania and hypomania can all cause major problems in my life - there's no cure for this, and it can be really destructive when I have an episode. I need to stay well, but I don't have any choice in the matter.

So much of my precious stuff was lost, stolen, broken or has otherwise disappeared, during my lengthy escape from that abusive relationship. It's caused so much damage to my life, getting away from my ex and that horrible situation. I jumped out of the frying pan and into the fire. Yes, it's true that at times in London I felt like I was making some progress, but there was too much pressure on me... too much pressure to maintain an unsustainable lifestyle.

Here in Wales life seems simpler; easier. There's less traffic, less crowding, less congestion, less pollution, fewer people, less competition, less crime, less noise... it's just a lot calmer. I feel like I'm calming down.

I can see the sea from my apartment. I can see the sea.

I used to own a house by the seaside.

I'm happy by the seaside.

Now, I'm starting to get my life back. I live by the seaside again. I'm not far from the beach. I can see the sea.

This is the journey I've been on. From domestic violence - domestic abuse - to domestic bliss. I'm a lot happier now I'm not having to barricade myself behind doors to protect myself.

Tags: #homeless #divorce #relationships