This is a story about medical notes...

My ex-wife - a biochemist by way of undergraduate degree - once screamed at me in an incoherent rage because I had innocently asked her "how big is a protein?" having wondered how many nanometers across, the average protein molecule measured. The sheer audacity of me asking such a question enraged her, perhaps because free thinking is expressly forbidden in an academic world which promotes rote-learning of facts and examinations graded to a marking scheme, ahead of learning.

(The answer, by the way, is roughly 3 nanometres in radius).

When I attempt to answer a difficult question, I sometimes pause and chuckle. "What is consciousness?" came one question. Although I was desperate to talk about weakly interacting subatomic particles, General Relativity and nuclear fusion, I somehow managed to constrain myself to a meaningless analogy, while keeping quiet about my "mind's eye" which could picture every piece of information that captured my entire existence, smeared out in a infinitely thin sphere at the event horizon of a singularity, across all meaningful spacetime for the entire universe that I will ever perceive, which would have been rather a mouthful to express.

Just as one may cram for an exam the night before, I've attempted to only ever amass the prerequisite knowledge that may be considered the minimum viable to navigate whatever situations I have had to endure to reach my goals. Education has never seemed like an end in and of itself, given that our understanding of the fundmental nature of reality is evolving, and the Standard Model of particle physics is rather long in the tooth. Although I find it quite delightful that there are quarks named strange, charm and beauty in the particle zoo, I would find it rather frustrating to dedicate years of my life, obtaining a degree and writing a thesis using tools which may soon look as clunky and outdated as Newton's inverse-square law of gravity.

The mathematicians will mock physics as simply being applied mathematics. The physicists will mock chemistry as simply being applied physics. The chemists will mock biology as simply being applied chemistry, and so on.

Computers are now capable of solving equations and modelling real-world phenomena, potentially making algebra and calculus into dying arts, along with handwriting and long-division. The Fractal Geometry of Nature has revealed that cold rational calculating machines can produce simulations that imitate reality, through repeating patterns. Massive computational power does not only aid human discovery of hidden algebraic equations.

Amid much fanfare, computer software is touted as potentiating new drug discovery by simulating molecular binding, protein folding, rapid gene sequencing and personalised medicine. However, we seem to have forgotten that half the planet is impoverished & hungry, and vast numbers of those who are fortunate enough to live in advanced, wealthy & technologically advanced societies, are suffering from an epidemic of anxiety, depression and other mental health issues that is bad enough to drive vast numbers of men in the prime of their life to commit suicide: the biggest killer of males under the age of 45 in the UK - more than road traffic accidents, drug-related deaths, physical disease, murder, accidents and all the other causes of death.

One should consider that I took leave of my senses in 2008, but since that time I have only managed to attract two clinical diagnoses - convenient medical short-hand - although I have acquired a third which is perhaps the bluntest instrument of the three, and much more of a pejorative than a diagnosis.

"Substance abuse" is a catch-all term which serves me well when I haven't the time & energy to go into detail. Given humanity's long history of self-intoxication, some physicians would consider themselves to be well-versed in the matter. Even the most insulated amongst us, will have struggled to escape contact with a drunk in our lives. We quickly forget, of course, that psychiatry is an extremely young discipline. The isolation, refinement and synthesis of molecules which can short-circuit brain mechanisms, is something that dates back only 70 or 80 years, along with the branch of medicine chiefly concerned with treatment of matters of the mind.

The brain: the most complicated organ in the human body - estimated to have up to a quadrillion neuronal synapses - is often considered only in terms of its vital function as central nervous system, insofar as the same fatty grey matter helps other species to fuck, fight, flee and feed. This does not, however, tell us much about human consciousness, and even less still about pathological thought.

I once sat down and hand-wrote 12 pages of notes, from memory, of every General Practice doctor, psychiatrist and hospital, which I had attended during a 7 year period. Although I kept things as brief as I could, with names, dates and locations, as well as diagnoses and medications, there was a great deal to write. I'm not a complete hypochondriac - there were important notes about my episodes of depression and hypomania, where my mental health had caused me to become significantly dysfunctional.

Perhaps your mind is now skipping ahead - as mine often does - and you're attempting to finish my sentences. Presumably, you're trying to guess the punchline of the joke. I assume you've already got more than enough information to diagnose and treat me.

I'm second-guessing myself here, and I'm struck by the egotism and "navel gazing" of the very act of being sufficiently appraised of my own medical history that I should remember such a level of detail. Who the hell am I to take an interest in my own diagnosis and treatment? Where's my certificate, framed on the wall? Where's the photo of me wearing a mortar board & gown, and clutching a scroll of parchment with a red ribbon tied around it?

When I think about where I should spend my precious time and effort, I'm not motivated by the prospect of being an understudy to a failure. While psychiatry continues to produce dismal outcomes for humanity, in terms of the epidemic of mental health problems, addiction and general societal collapse under the weight of stress and burnout, I'm reluctant to follow in the path of those who are not succeeding in improving the human condition. It should however be noted that I do not for a single moment, criticise the well-meaning intent of those in the healthcare professions, nor do I mean to discredit the lifesaving work that takes place every single day.

The idea of using myself as a case study seems quite ridiculous, but one must consider that it would be unethical to - for example - risk a person's life when there is a treatment available that has been proven to be more effective than placebo.

With a sample size of one, perhaps nothing useful can be gleaned from my first-hand experiences, but I have attempted to corroborate my findings with other evidence wherever possible. I have deliberately avoided areas where another data point would make no difference: what use would it be if I too experienced anorgasmia as a result of SSRI medication, for example?

A great deal of our knowledge regarding the anatomy of the human brain has been gleaned from unethical experiments on unconsenting psychiatric patients - lobotomies, testing of medications and induced seizures. Animal studies have been gratuitously gruesome, with a great deal of unnecessary suffering inflicted upon primates. I'm not an anti-vivisection nutcase, but there must be very tangible goals to justify the means of obtaining the results.

To bathe a brain in psychoactive molecules that will cross the blood-brain barrier, is barbaric when we consider that the theoretical reasons why drugs have the effect that they do - the theories have so often been disproven. The 'chemical imbalance' theory that said that depressed brains had lower levels of serotonin, and that SSRIs would increase levels of synaptic serotonin, has been conclusively disproven, yet it is still a widely-circulated myth.

The much-vaunted sequencing of the human genome looks like a ridiculous white elephant of a project, when we consider that epigenetic gene expression had been discovered to allow genetically identical animals to exhibit completely different physical characteristics, depending on the environment that they have been exposed to.

In a collapsing global economy, education is one of the few sectors that's not feeling the pinch, and good solid science is getting drowned out in a sea of noise: pointless research. There are already excellent animal models which demonstrate that overpopulation and otherwise horrible living conditions, will produce a "behavioural sink" and addiction, in individuals who would otherwise lead happy healthy lives.

It has seemed fairly obvious to me from the start, that my mental health problems have stemmed from the ethical objections I had to the conduct of financial services organisations, and the role of global capitalism in ruining billions of human lives, in pursuit of unrestrained, unregulated and immoral profits, to the exclusion of any and all consideration of long-term consequences. In short: my problems should not be medicalised. I'm having a sane reaction to an insane world.

While this essay goes well beyond the "answer A, B or C" multiple-choice options on the prescriptive menu that is on offer, I feel that this does not invalidate the points I am making.

To have invested heavily in a mainstream education, would be to risk becoming incoherent with rage whenever somebody was so impertinent as to ask a thoughtful question - questions that spring into a mind that's unconstrained by the narrow status quo viewpoint, rote-learned while kowtowing to those with the necessary credentials to approve clones of themselves.

This is not "my ignorance is as good as your knowledge" anti-intellectualism, but instead a suggestion that we don't need so many people who've all read exactly the same books and sat more-or-less exactly the same tests. Moving towards intellectual homogeny is as dangerous as book burning, in my opinion.

In conclusion: this is a convoluted way of saying that you're unqualified to judge me, although you're possibly technically correct if you say that my problems are mostly of my own making.

Tags: #mentalhealth #suicide #addiction

This is a story about breaking the cycle...

Two of these medications are addictive. Half of these tablets are dietary supplements that can be bought from a health food store. As I stop taking three prescribed medications, withdrawal side effects that I'm suffering from include: insomnia, anxiety and panic attacks. Why stop?

If you're doing something that seemingly provides no benefit to your life, but is hard to stop, then why are you doing it?

The list of things that I could be said to have enjoyed habitually has grown to an extensive list that includes sex, spending money, alcohol, stimulant drugs, benzodiazepines, sleeping pills, painkillers, pornography, computer games, reading, arguing with people, work, masturbation, driving fast, junk food, music and just about anything else that makes life liveable. Strangely, my current day-to-day life includes almost none of these things.

Given my natural tendency to binge on anything I enjoy, perhaps it is abstinence that I am now taking perverse pleasure in the over-indulgence of. I barely have the words to describe how truly dreadful it is to be withdrawing from the most addictive chemicals on the planet - abstaining from alcohol & benzodiazepines can be so hard on your body and mind, that you will die from seizures. Why on earth would I choose to go without the things that would salve the aching that my body has for anxiety & stress alleviating substances?

It was suggested to me that my choice to go without all the things that would help me feel better, is akin to a kind of self-harm. Writing this now, I'm inclined to agree. All the stress and anxiety that I have avoided for years is all hitting me like a sledgehammer. Everything I've ever enjoyed and seen as a reason for living, is barred from me for reasons of self-denial.

Perhaps this is a kind of meditation. Like a monk who takes a vow of celibacy, through this difficult period maybe I will learn something that I would not be able to whilst indulging in the terrestrial temptations.

There is a deliberate alteration of my behaviour, of course. I have decided to deny myself alcohol and my prescribed medications (yes, this is in agreement with my doctor, yawn). I could very easily continue to drink alcohol and take pregabalin, not to mention illegal narcotics and prescription drugs which I could obtain through the black market, but I choose not to. I do not stop because I have an incentive to do so; I stop because it is hard and it is interesting - I'd gotten a little bored of my wanton excesses.

I could write and write and write - perhaps the armchair psychologists amongst you will speculate that I have simply transferred all of my multiple addictions into an addiction to writing.

Tags: #addiction #socialmedia #alcohol #drugs #writing

This is a story about being caught on camera...

There was a time before digital cameras and Facebook when it was thrilling to see photographs of yourself that other people had taken: this was the pre-selfie age. There was a time when creating a digital identity was hard - social media wasn't dominated by the big players, and maintaining a homebrew website required expert technical skills and a significant investment of time & effort.

Some enterprising tech boffins created free software that allowed bulletin boards to be created by relative novices - these were forums where internet users could discuss topics, under the banner of a certain hobby or interest. Originally, bulletin boards were telephone numbers you could dial up from your computer, to do the kinds of things we do on the internet today, except that these bulletin boards were isolated communities.

Facebook and Twitter have taken the bulletin board - where we build a community around a common interest - and allowed us to build a community around our personal identity, with the bait of seeing ourselves tagged in photos or mentioned in tweets. On forums, there was a thrill in seeing a thread of discussion getting many views and replies - to be the original author of a popular thread was something to take pride in. We covet 'likes' of our updated profile photographs and our pouting selfies, as we preen our digital identity.

With the ubiquity of smartphones that are capable of capturing and uploading photos and videos, making them instantly available on social media, we are amassing a huge library of images of ourselves, as well as projecting an identity that goes well beyond the people we see on a daily basis, face-to-face.

Our skill in presenting ourselves as we want to be seen - Facebragging - is something that we have had to recently learn, especially as we increasingly mix work colleagues with our close friends, online. Our digital identities can overspill unless we are careful to manage the audience with whom we share things.

A sinister and creepy cyberstalker made a horrifying boast to me:

"I know"

I'm sorry, what? What do you know?

"I've read your blog. I know"

What? What do you know? Have you really read my blog? There's the best part of three-quarters of a million words here - I seriously doubt you've read much, and I seriously doubt you know much.

Those words - "I know" - were said to me by somebody who was making a very important decision. Because of the sheer volume of noise on social media, I'm relatively hard to find. Thanks to my concerted efforts over a number of years I can laugh at anybody's attempt to "know" me - stalkers only scratch the surface. Yes, I am applauding myself for writing so much that even the most determined cyberstalker would be exhausted.

I live in fear of cyberstalking.

Don't we all live in fear of cyberstalking a little bit? There's probably a sex video of you and somebody else that's hidden somewhere on your computer or smartphone. What about all those sexts that you sent between you and your sweetheart? What about all those paedophiles who want to molest your children? What about all those rapists who are following your every move on social media? The world is out to get you.

My fear of cyberstalking is a little different.

I'm now convinced that almost everybody is far too wrapped up in their own self-centred little world, to give two fucks about much of what anybody else is doing. The cyberstalker who said "I know" in a very sinister and horrible way, was intent on harming me just as much as you'd expect of any stalker - zero fucks were given about my health and wellbeing, and a very great deal of harm was rendered to me.

Perhaps I should set my privacy settings to the maximum and erase everything that's personal and accessible to malicious attackers?

To protect myself from a determined cyberstalker would be nearly impossible. Our lives are lived online nowadays - to reject social media and not cultivate a digital identity, will leave me isolated and without access to online communities. To have to always consider how anything I share could be used against me is exhausting, and how am I supposed to ask for help or otherwise indicate to my friends that I'm in trouble? Pretending that my life is awesome and I'm totally OK is ridiculous, if I'm doing it just in case a cyberstalker goes digging.

I'm not suggesting we all post our mother's maiden name, social security number, credit card details and other data that would lay ourselves open to fraud... or maybe I am. In an open and trusting culture, the bad apples are easier to spot - nothing to hide, nothing to fear.

The fact that I've suffered significant financial loss due to a cyberstalker is akin to a kind of fraud that has been perpetrated against me. I'm no fraudster: who I am is plain for all to see. That somebody would steal my data and use it against me is criminal. Why should I be persecuted and discriminated against, because of what dirt you think you've dug on me? It's like a kind of blackmail to use my digital identity against me.

I wonder what kind of person would think that whatever I choose to write on my blog is more important than the facts, which have included things such as being in intensive care in hospital with a 50/50 chance of living or dying. Wouldn't you care about the person - i.e. me - and not about the digital identity? "Are you feeling OK because I was really worried you were going to die?" would seem like the more appropriate human response, rather than the extremely creepy and sinister "I know". I mean, what the actual fuck?

So, I've been cyberstalked, and the stalkers have caused significant harm to me. Just hearing "I know" from somebody who seems to be a respectable member of society, does show that there are some downright evil fuckers out there. However, I stand my decision to be brave and publicise who I am and what makes me tick.

In my experience, it's better to be brave and bold, even if it feels scary and nasty people try to fuck you up.

Tags: #writing #socialmedia #career

This is a story about justification...

What do you suppose this stack of laundry baskets and boxes full of clothes is? Perhaps this is a new modern art installation at the Saachi Gallery?

200 days ago - April Fools' Day - I was so paranoid that I believed that somebody was going to break into my ensuite bathroom on the 4th floor, and invade my bedroom. I was also so unwell that I believed I could secure my bedroom by tying my dirty laundry baskets to the door handle.

Paranoia does not generally trouble me during my day-to-day life: nothing to hide, nothing to fear.

I'm about to make a factual declaration that might shock and disgust you.

Men's libido will drive them to relieve themselves - through sex or masturbation - on a relatively frequent basis, depending on each individual. You might consider a man who masturbates every day to be a twisted pervert. You might consider a monk who has taken a vow of celibacy having undesired nocturnal emissions - he ejaculates in his sleep - to be the finest example of a man that is biologically possible, without castration.

Let's just re-iterate this for emphasis: biologically, the human race has evolved a reproductive imperative that is as strong as breathing, sleeping, shitting, pissing, drinking and eating. If you can stop doing all of the latter for a few years, then you're welcome to then argue the point with me.

If you consider the unpleasant combination of being so horny that you need to masturbate, with the belief that you're being watched at all times, then you might understand that it's an impossible situation, assuming that you value your dignity and your privacy. At present there are at least 3 webcams watching me and 2 microphones listening to me. Of course, I presume that no ransomware is recording me without my permission, but such software exists in the wild. How much do you trust the manufacturer of your phone and your laptop, to not co-operate with your government, giving them the ability to spy on you?

Nothing to hide, nothing to fear?

I'm guessing that you wouldn't want your family, friends and work colleagues, or even complete strangers, to see you tugging your todger; yanking your chain; bashing your bishop, or whatever your preferred euphemism is for masturbating to orgasm. I'm guessing that you'd find such voyeurism to be unacceptably compromising and distressing enough to destroy your mental wellbeing.

Do you note that I'm leaving aside any discussion of anything 'kinky' or not otherwise in accordance with plain vanilla biological imperatives?

Of course, we could all just have sex, and then we've got a partner in crime - we have safety in numbers; at least there's somebody else who's looking ridiculous with us, as we make the beast with two backs. However, this is not always practicable. Natural urges do not always align with the competing demands of the world around us. Sometimes, we are horny and single.

If you're thinking "eeeewww" or otherwise troubled by an undesirable mental image, you understand perfectly that the vast majority of us wish to maintain some privacy around this particular activity. I cannot relate to men who take a thrill from masturbating at somebody, flashing their genitals or sending unsolicited dick pics. I am not writing about the exceptional cases, where men act in an antisocial or illegal way - these matters are excluded from the discussion, because they are unusual and those men do not think and behave like I do.

In short, the only way that my behaviour seems at all unusual, is the exceptional lengths that I will occasionally go to in order to not be spied upon while masturbating. If we consider our desire for privacy, it doesn't seem odd. If we think about the fear of the indignity and shame of having explicit images and videos of us masturbating, shown to other people, that fear is not irrational - it would be extremely distressing, for almost everybody.

Just over 6 months ago my mind was shattered. Today I'm barely troubled by paranoia.

My paranoia doesn't come from nowhere - of course it needs a seed. The internal source of my paranoia is sleep deprivation, hunger, thirst and mind-altering substances: I have a choice over whether I disturb my mind with these things or not. The external source of my paranoia could be explained simply in this way: do you imagine that men in psychiatric hospitals no longer need to masturbate?

Ask yourself where it would be appropriate to masturbate, when you're being checked on regularly by nurses and support workers. Ask yourself whether you think you could quietly do the deed in a dormitory with other men. Presumably, you'd go to the toilet or the shower, wouldn't you? If you're masturbating in an institutional environment, with the noise of staff and patients all around you, does that make you a twisted pervert?

This topic is the most sensitive that I could write about. Nothing could shame me more than you knowing these deeply troubling things, which is why I write about them - I'm grasping the nettle.

If you care to read back through what I've written, you'll see that I stop short of painting an explicit picture - the images in your head are entirely from your own imagination. I'm not attempting to upset anybody, nor am I discussing matters that have no place outside of a basic human biology lesson.

I believe that honesty is the best policy, and I'm taking that to its extreme conclusion, despite the detrimental effect it seems to be having on me and my life. I started the questionable experiment, to publish my inner monologue, and I'm compelled to continue, even though it causes me a great deal of anxiety.

Why do I need to live in fear of people learning who I am and how I feel? Why would I need to wear a mask? Why do I need privacy, when so many are determined to sneak a peek behind the curtain anyway?

What happens when a person lays themselves bare, instead of letting paranoia destroy them?

Tags: #paranoia #writing

This is a story about picking on an easy target...

Has anybody ever died of shame and embarrassment? I feel horribly exposed all of a sudden, having published my entire psyche into the public domain - all the inner-workings of my mind; every dark secret is out on display.

I'm acutely aware that I've kept writing and publishing throughout periods where I was incredibly unwell. I'm acutely aware that I've published unedited things, despite being exhausted, stressed and unable to make a sound and rational judgement call on whether or not to publicise private matters.

It's quite apparent that my rather strange and questionable mission - to submit my private journal to public scrutiny - has been incredibly costly.

Have I made a mistake?

Clearly, I've made a whole string of mistakes. Every day, I think about millions of mistakes I've made that I could write about. Even the process of exploring all my feelings and admitting my fault, is somewhat of a mistake.

Racked with self-doubt and feeling a mounting sense of vulnerability, I've thought about back-pedalling - haven't I made myself look like a buffoon in front of enough friends, family and strangers? Shouldn't I now clam up with shame and regret that I ever opened my mouth? Shouldn't I bury this blog and hope that nobody ever brings up the matters I've made public?

It would be so easy to press the "delete" button and destroy the digital identity which I've created. It would be so easy to deny all knowledge of ever sharing extremely personal matters. Don't believe everything you read online.

If I loaded a gun with bullets and handed it to you, I turned around and you shot me in the back, would you feel victorious?

I don't understand why anybody would take the ammunition which I give them and use it against me. I don't understand why anybody would take the opportunity to sucker-punch me, when I'm making myself so vulnerable; such an easy target. Is there really any pleasure in picking on somebody who's laid wide open to attack? Where's the sport?

I've started to wonder what happens to the people who pick my pocket, blame things on me or thump me in the face, knowing that I won't defend myself or retaliate. Do they feel pleased with themselves? Do they feel happy and are they able to sleep soundly at night?

If I'm starting to sound like I think of myself as sweet and innocent and free from all sin, that's not the case. There's more than enough admission of wrongdoing on these pages, if you want to go digging. I'm not some butter-wouldn't-melt, holier-than-thou, whiter-than-white person who claims to never have said boo to a goose. I admit that I'm a deeply flawed individual.

I'm struggling with a cloudy brain. I feel like my wits are dulled and my thoughts swim through treacle. I feel run-down; unwell. I feel like I'm not well enough to be writing. I regret things I wrote when I was sick, in the past.

As the truest version of myself - free from drink and drugs - emerges from under a dark storm-cloud, I struggle to reconcile the way I feel now with how I felt when I had the protective armour of intoxication. I'm full of stress, nervous tension and anxiety, while my brain is raw and damaged from abuse - I'll recover, but it's taking time.

I'm defensive, because I can't afford to lose any more opportunities. I can't afford to have my reputation tarnished anymore, even if it appears to be me who's doing the tarnishing. I can't afford to have influential people leaping to the wrong conclusions. Why continue to write so honestly? Why take the risk? Why not shut down this crazy experiment?

The fact you're reading this means that you're either going to use it against me - shooting me in the back with the weapon I handed to you - or you'll dig a little deeper; try a little harder. It's all too tempting to kick a man when he's down though, isn't it?

It's too obvious and easy to shut down; shut up. I've come this far, so why shouldn't I keep writing? What does it matter if I make myself unemployable? What does it matter if I can never return to the part of society that routinely lies and wears a mask of insincerity? Why the fuck do I want to live in a world full of absolute arseholes, who stab each other in the back?

Come; come and beat up on me; come and put the boot in; come and strike me with sticks and stones and whatever weapon you can grab, while I lay battered and bruised, unarmed on the floor, naked, afraid, defenceless, outnumbered and in pain.

I invite you to martyr me.

Tags: #writing

This is a story about neurotoxicity...

What's happened to the left hand side of my face? My eyelid has drooped; my face is no longer symmetrical. Why do I have a facial tic? Why is my speech slow and slurred? Aren't these all symptoms of cognitive impairment; brain damage?

I decided to read back through some of my blog - I read from February through to June, when I was very unwell. I was surprised that a lot of it was gibberish - I thought that I had written with lucidity, but I had mis-remembered things.

As is so often the case with me, I dice with death and I dodge bullets. I'm still very sick, but I'm getting better. I'm going to make a full recovery. My speech is normal; my face doesn't tic and my eyelid no longer droops. The brain is a remarkable thing, but I do need to stop abusing my body.

A month ago I was livid; I was unbelievably angry. I was fighting for my income, my home and my liberty - I was fighting for my legal rights - and I was spitting venom; I was furious at being abused; mistreated; taken advantage of.

I re-read the lengthy blog post I wrote a month ago, which started OK, but then I got plunged into repetitive thoughts - you can tell that my brain was stuck on a loop and I repeated myself several times. It's surprising that I could express myself fairly well, given the circumstances. I imagine that it took me a long time to compose what I wrote, and I clearly struggled to remember what I'd written at the start, as I reached the end.

It's tempting to edit and airbrush history, but it's much more interesting to maintain a public record of exactly what I was thinking and feeling at a certain point in time. Inadvertently I also capture other details about my state of mind in the way in which I express myself.

I've now been writing for long enough to capture two periods of total abstinence from all mind-altering substances, including alcohol, caffeine and nicotine. I'm a lifelong non-smoker. I stopped drinking caffeinated beverages in 2013. During this particular period of abstinence, I've not drunk any alcohol for 35 consecutive days.

What's the net result of all this?

Nah, I'm only kidding... that was me when I was twenty years old. However, I'm sure there's been a marked improvement now that all the crap is out of my system.

A few friends spoke to me soon after I arrived on the psych ward. Although I sounded like my old self and I was in good spirits, my recovery was only just beginning - friends who see me and speak to me on a regular basis report that I'm much improved from how I was a month ago.

My hair, my skin, my nails, my teeth, my breath, my sweat and most importantly, my brain - all of these things are completely different, now that I'm not glugging gallons of booze and popping loads of pills.

I cringe with shame a little bit, to think that I made myself very exposed and vulnerable at a time when I was very unwell - the public got a little bit of a behind-the-scenes peek at me when I was extremely poorly. You can go digging in the archives, if it pleases you, or you can take my word for it: there's no surprises and there should be no pleasure in gawping at somebody when they're sick.

If we've not spoken for a while, I highly recommend that you get in contact and we actually speak on the phone - my email is nick@manicgrant.com. You might be very surprised to learn that your friend is in possession of most of his marbles, and not the raving lunatic that you might have guessed I would be, after such a traumatic couple of years.

Here's another one for the photo album, taken only seconds ago. My left eye is not yet 100% and I'm still suffering a lot of brain fog and other recovery-related problems - it'll be a month or two before I'm fighting fit. My face still tics when I'm stressed, but it's less pronounced.

I'm struggling with horrible anxiety, depression and confusion; memory problems. None of this is a surprise to me - it's to be expected, given what I've been through and I'm still going through.

I've got no idea what I'm really writing about, or what my purpose is now. Is this still the world's longest suicide note, or am I now campaigning to end the stigmatisation and discrimination that our less fortunate members of society must face: the mentally ill, alcoholics, drug addicts and homeless people... the dregs that nobody wants to touch with a bargepole. I know that I want to be the voice of the voiceless, although I know how clichéd that sounds.

I'm swimming through a fog of confusion, but I know I'm slowly getting better.

Tags: #mentalhealth #recovery

This is a story about slipping through the safety net...

Exactly one month ago was World Suicide Prevention Day and exactly one month ago I was in a critical condition, on life support in intensive care. I was given a 50/50 chance of living or dying, following an overdose the night before. It seems sickeningly ironic that if the emergency services had reached me just a little bit later, I wouldn't be writing this. If I didn't live in the United Kingdom, where we have the best healthcare system in the world, I would probably not be writing this.

It was 9 years ago that I first sought help for my mental health. "Have you heard of fluoxetine?" asked my doctor, within 30 seconds of me explaining my symptoms: suicidal thoughts, low mood, low energy and an inability to get out of bed and go to work like normal. I was disappointed to be offered patent-expired generic medication, without a moment's hesitation. I walked away empty handed.

Clinical depression was where I started my mental health journey. Having the label "clinical" made a huge difference. To add that word - clinical - onto how I was feeling, was necessary to defend myself from anybody who might say "just snap out of it" or "pull yourself together". In my case, having a label was desirable - it wasn't an excuse; it was a diagnosis.

Every time I've gone to my doctor, I've been hoping to receive some counselling, but instead I got referred into psychiatric services as an outpatient in 2010. I was referred for Cognitive-Behavioural Therapy (CBT) treatment, but by the time I was assessed, my mood disorder had been diagnosed as type II bipolar disorder. The assessment concluded that my mood disorder was too severe to be treated with CBT. I was left with no psychological treatment. "What am I supposed to do?" I asked. "Go back to your doctor" came the reply. It was a devastating disappointment.

By 2011 I was so unwell that I was assessed under the Mental Health Act, to see if I needed to be detained in hospital - what is colloquially referred to as a "section". I begged to be hospitalised as I was suicidal. I repeatedly said the classic cliché that so many people will say when they are desperate for help: "I'm going to kill myself". Community Mental Health Teams (CMHTs), crisis teams and home treatment teams must hear those words so often.

With a shortage of psychiatric beds, there's a huge reluctance to "section" anybody. At the time of my first section assessment, my girlfriend and my dad were present, so the assessment concluded that I could be kept safe at home. In fact, I sawed a hole in the back of my shed, climbed over a neighbour's fence and ran away. The police were called to look for me because I was a danger to myself.

Soon after that, I was seen by a private psychiatrist, referred and admitted for 4 weeks of inpatient treatment at a private hospital. The cost was over £12,000.

There was some debate with my medical insurance company as to whether my bipolar disorder was acute or chronic. The insurance company said it was a chronic condition, and therefore not covered by the policy. The consultant whose care I was under, managed to argue - over the course of a couple of nail-biting weeks - that my presentation was acute.

Having to resort to the private sector; having disputes with an insurance company - none of this was conducive to getting better. In fact, having to find my own psychiatrist, get approval from the insurance company to even speak to the doctor and then having the stress of thinking that I might need to spend £12,000 of my dwindling savings, was an awful ordeal when I was clearly very unwell.

At the end of 2012 I got married and 8 months later I separated from my wife. She didn't care about the incredible stress that divorce and selling our house would put me under. I moved to London to live with supportive friends while my life was ripped to pieces. I lost my job.

By 2014, I completely slipped through the safety net. I took an overdose and lay dying of multiple organ failure on the floor. I managed to phone a friend who got me to hospital. After a week, the hospital discharged me to a hotel. I had two weeks to organise my own accommodation because no bed on a psychiatric ward could be found for me. My muscles were horribly damaged by the overdose and I was in agony. With a bundle of documents to prove that I was a priority case for emergency housing, I visited the local council housing department. The officer I saw promptly disappeared on holiday, abandoning my case. I became homeless.

After living in cheap backpackers' hostel, I reached my two week limit, which is a rule that most hostels have. I then started living in a bush in Kensington Palace Gardens. When it became apparent that living in a bush was not a long-term solution, I stumbled into nearby Paddington - St Mary's Hospital - and presented myself at Accident & Emergency. 12 hours later, I was given two weeks respite in a "crisis house". I tracked down the housing officer who I'd spoken to before. At the end of two weeks, I received a one-line email: I wasn't eligible for any help from the local council. Why? What now?

I was homeless on Hampstead Heath. It was very beautiful, but it was still summer. What was I supposed to do when the weather turned bad?

How had this situation come to be? I'd been a highly functional, productive and fine upstanding member of society: I'd had a successful career, paid taxes all my working life, bought a house, gotten married and done all the things we're supposed to do. What the heck was I doing homeless and abandoned by the state when I was obviously a vulnerable adult? My doctor had written a letter saying I was a vulnerable adult, and my psychiatrist had done the same. These letters had been presented to the local council housing officer, but yet it had made no difference. What have you got to do to get help in this country?

Eventually, I came to be living in the North of England, in an apartment which was a perk of a job I'd taken out of desperation. The apartment was miserable, dark and dingy, and I was terribly lonely. On the 9th of September 2017, I took a massive overdose, which I had researched on the internet to make sure it was likely to be fatal. I regained consciousness after having been in a coma, in hospital, on the 11th of September 2017 - I had completely missed World Suicide Prevention Day. A machine was breathing for me and I was put back to sleep. I didn't leave the intensive care and high dependency wards until the 12th of September 2017.

On the 13th of September 2017, I found myself discharged from hospital and left to flounder all on my own. I didn't want to go back to the apartment where I'd tried to kill myself. I've not been back there. I'll never go back there.

I was sectioned - a section 136 - after being taken to hospital by police. I had to make a massive public nuisance of myself in order to get help. The hospital upgraded me to a section 2, which meant I was going to be kept on a psychiatric ward for up to 28 days. Why now? I'd had two near-fatal overdoses, which had hospitalised me in a critically ill condition, but yet I hadn't been considered enough of a risk to myself to receive inpatient psychiatric treatment. Why did it take so long to finally get the treatment I'd been begging to get for 6 years?

The psychiatric ward discharged me from my section after 12 days, and another week later I was discharged from hospital - a good samaritan has taken me into their home. Again I wonder why no temporary housing was forthcoming, given the fact I am so vulnerable - I lost my job and my apartment due to mental health discrimination. I'm being victimised again & again.

I'm in a safe place now, but my food & accommodation comes from a charitable family who have taken pity on me, after reading my story on my blog - we clearly don't have a system that works for the whole of society. We can't all turn to Twitter every time we're having a mental health crisis.

My Twitter followers brought the emergency services to my door, saving my life. Through my blogging and social media presence, a stranger read about my desperate plight, and kindly offered to take me into the family home.

Today, I feel OK, but why have I been subjected to such a horrific ordeal? I very nearly succeeded in ending my own life, because no help was forthcoming when I really needed it - we're locking the stable door after the horse has bolted.

Using myself as a case study, the safeguards we have in place to prevent suicides are woefully inadequate. My first-hand experience of NHS mental health services, is that they're desperately underfunded and overstretched.

There will be so many tragic preventable deaths if we allow the current situation to persist.

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

This is a story about storytelling...

I'm stood in a sunny garden, sheltered from the wind by mature shrubs. Beyond the confines of the walls and fences are lush green fields; rolling hills leading down to the sea. The air is fresh and clean, blowing in off the Atlantic. There's a smell of mown grass, which has been cut for the last time before winter - the trimmed blades clump on the lawn. Gravel crunches under my feet - I'm stood on the driveway where the cars are parked. There's a sound of a 2-stroke engine which powers a hedge trimmer, being used to tame the runaway growth in the hedgerows; the exhaust fumes blown away by the prevailing wind.

I'm throwing a ball for the white wolf. Eyes on the front of his head, not the side - that's how you know he's an apex predator; he's not worried about anybody creeping up behind him, although his ears are pricked up, listening intently. He's a smart wolf - anticipating me throwing the ball but not so eager to run and collect it that he would be fooled by a dummy. Besides, why would I want to trick a wolf? What satisfaction would I get by proving I'm smarter than an animal with a much smaller brain?

The wolf pants and drops his ball some distance away from me. The game is over. I fetch a water bowl for the wolf and he laps up the cool liquid with his long pink tongue. He brings his ball to me again, ready to play - the game starts over.

My throwing gets erratic and the ball lands on a rockery. I'm fearful that the wolf will injure himself. I stop throwing the ball.

A running sheep; a chasing wolf - he's found a new game.

Clambering over fences, the farmer holds the wolf while he strains to get at the flock which has retreated into a corner of the field, unable to flee further because the sheep are enclosed by a fence. The wolf has to learn that this is not a game.

I feel guilty. Did I get the wolf over-excited by throwing the ball for him? Was I the immature adult who gets the children over-excited before bedtime? Was I irresponsible; inconsiderate of the consequences?

I want to tell stories but not everybody wants to feature. I want to tell stories but invariably people will wonder if it's about them. I want to tell stories, but I have to be careful that I respect the need for peaceful private family life.

I'm lying on a bed with sunlight in my eyes, telling a story. It's warm and quiet and I'm very comfy and calm. My brain buzzes with thoughts; ideas - I've written a list of 49 stories that I want to tell, and I have another list with 70 more, some of which I've already told. There are more words than there are waking hours in the day to type them. Now that there is some calm around me, the dam has burst and I'm struggling to not be swamped by the deluge.

I think about tenses - why is this told in the present tense if it's a story?

So much has happened in the past and it's hard to not relive and refine the story. I do not embellish or exaggerate, but stories improve with retelling. With each iteration, a more accurate and engrossing account emerges. I have a mountain of material, and the temptation is to weave it all into a captivating patchwork quilt of tales; adventures.

Here in the present there's plenty going on but I'm a guest in somebody else's story, and it's not my place to tell it. It's strange for me to observe quietly and not pass comment. In all honesty, I swing between "where did it all go wrong [in my life]?" and gawping in awe at what's been built; forged - the achievements of the loving, kind, generous and humble family who've taken me in are breathtaking.

Outside, there's a well. It's blocked, but it's obvious what's down there - a dark cavern filled with cold water. To fall into the well would be deadly: you could never climb out. Why unblock it? Why go down there?

Obviously, the well is a metaphor for my past. I have an aquifer of hair-raising tales that I could never drain, even with a million buckets. I can draw upon my dark murky past, but perhaps I shouldn't - perhaps to plumb those depths will lead nowhere new. Haven't I written enough already, about the past?

I'm planning on writing another novel in November.

Tags: #writing #family

This is a story about how nothing really mattress...

This is the last double bed I slept in, 27 days ago. That's my brand new bedding with brand new pillows and a brand new duvet. I moved to Manchester with nothing more than my laptop and a bag of clothes. New life - clean slate. This is the apartment where I tried to kill myself. It was a miserable place and I'm glad I never slept there again.

I woke up on Saturday 9th September, and I was miserable. I wrote a blog post in this bed, about how miserable I was and how close I was to committing suicide. It was prescient.

The next bed I lay upon was owned by a guy who I had become friends with through my girlfriend. My girlfriend at the time was of no fixed abode - sofa surfing with a guy who she met on a dating website. I'd travelled to this friend's apartment to see my girlfriend. We lay kissing and cuddling on our friend's bed. Then, we broke up.

Coming home to my miserable apartment, I didn't get into bed - I took a massive overdose and lay on the bathroom floor in the dark, waiting to die. The next bed I laid upon was in the Accident & Emergency department of the nearest hospital.

I'm presuming - because I was unconscious - that I stayed on the same hospital bed, as I was transferred from A&E resus to the Intensive Treatment Unit (ITU) and then to a High Dependency ward. I was on life support. I was having seizures. I don't remember any of this.

I vaguely remember having to scramble across onto a different bed, to move me out of the High Dependency ward and onto a general ward. I remember this because there was a bag of my piss sloshing around that had to be moved too, and there was a tube coming out of my penis, which I had to be careful not to entangle with anything. The tube that was going up my dick yanked my male member around - it wasn't a comfortable experience.

From hospital I was thrown in a police cell. There was a 'bed' made of concrete painted with light blue paint - the same glossy paint that adorned the floor and walls of the cell. To slightly soften the hard concrete, there was a thin blue foam mat, which was wipe-clean. I did not sleep.

Driven home by the two police who had interviewed me - at 2am in the morning - I finally got back home at 3:30am. My sleep medication was nowhere to be found and I'd had a traumatic day - sleep was impossible. I lay awake on my bed, waiting until the earliest possible moment I could go to the office and try to find a work colleague - I was in a desperate situation and I needed help from somebody friendly and sympathetic to my plight: alone in a strange city with no friends or family; no smartphone, laptop, debit card, credit cards, cash or driving license.

After a second dreadful day I was pretty fucked up, as one might expect of somebody abandoned in such shitty circumstances. As sleep deprivation reached the 40+ hour mark, I ended up back at the same hospital's Accident & Emergency department that I had been in 5 days earlier.

Another day, another hospital bed. This one I came round face down on, with my wrists handcuffed behind my back, after having received an intramuscular injection of 4mg of lorazepam. It was approximately 3am in the morning - now 6 days after my original hospital admission.

Sectioned first under a 136 (up to 72 hours) and then upgraded to a section 2 (up to 28 days) I was then taken to a secure psychiatric facility with airlock-type doors, to stop anybody escaping. I was given a private room that was quite nicely appointed, with a writing desk and an ensuite wet-room.

Having blearily come round in the early hours of the Tuesday morning, it was now Thursday night. I finally had a single bed in a comparatively peaceful environment in which to collapse and sleep, mercifully with the assistance of some zopiclone to calm my jangled nerves and soothe me into my slumbers.

Gone were the bleeps and hisses of the machines that were keeping people alive, on the Psychiatric Intensive Care Unit (PICU), replaced with the sound of alarms, slamming doors, shouting and running in corridors, as my fellow patients were restrained by staff. I found it somewhat comforting, to know that my crisis was no longer at its peak.

After 8 days on the PICU, I was transferred to an acute psych ward. It was terrifying.

With me in hospital I had two Apple iPhones, two Apple Macbooks, a Nintendo Switch and £1,150 in £50 notes. It's not really recommended to have that amount of valuables on your person, in amongst some very poor and deprived people. The wealth disparity was vulgar.

My guardian angel facilitated the return of my surplus iPhone and Macbook - Apple were excellent and refunded me with no quibbles.

I begun life on the new ward in a private bedroom, but I didn't have an ensuite shower and the TV blasted right next door for 19 hours a day, at full volume. At first, I was too tired to care and I could sleep through the dawn chorus of utter bullshit television a million decibels, but then it started to keep me awake, leaving me less than 5 hours of shut-eye per night.

Then, the dreaded dormitory. Dorms are a mixed bag - very dependent on the luck of the draw, in terms of your fellow occupants. Security is a massive concern, as nothing more than a privacy curtain separated my personal possessions from anybody who'd care to have a look through my bags. Snoring can be a pain in the arse, with one person able to keep everybody else awake listening to their noisy slumbers. Thankfully, my dorm buddies weren't too bad.

This morning I woke up to "second; minute; hour; power; shower" repeated over and over, as a poetic dorm buddy wrote a new rap. That was 5:15am. It was still dark. He was pretty loud. He's sleeping now - snoring.

Today, I'm bustin' out of the psych ward. Watch out, general public of the United Kingdom - I'm going to be moving among you again as a free man.

This is my current bed. I'm lying on it as I type this. I don't know what the bed or the room I'm sleeping in tonight looks like - I've never set foot in the house I'm going to travel to this afternoon. It's a leap in the dark, as is my wont.

Some of my few remaining worldly possessions are here with me in Manchester and some are in London. I'm surprised that I haven't lost more of my valuables. I can't quite bring myself to do the maths, to figure how much money I've lost on this crazy jaunt to the North of England. What does it matter? I'm alive and about to be accepted into the fold of a kind family who are taking me in - the IT consultant who lost his mind in a city where he didn't have any friends or family. It's unlikely that I'd have ended up homeless, but I wasn't relishing the prospect of being chucked off the psych ward and into a dreadful bed & breakfast, in some shitty suburb.

The very definition of "my" home and "my" bed has been smashed to smithereens. Tonight will be the tenth bed I've lain upon in less than 28 days, including several hospital beds and the concrete slab that passes for a bed in a police cell.

Distress flares were fired off and a good samaritan is coming to rescue me from a fairly dire situation.

Tonight, I sleep in a normal house for the first time in what feels like a very long time.

Tags: #hospital #mentalhealth #nhs

This is a story about being inspected...

Today the psych ward is being inspected by the Care Quality Commission (CQC) and the staff are so nervous that some of them feel physically sick. I try to reassure one nurse that they're doing their best, despite staff shortages and rampant drug use - the synthetic cannabinoid called Spice is ubiquitous throughout prisons and psych wards.

There's always somebody peering over your shoulder, sneeringly judging you. Is it any wonder that paranoia takes hold in a mind, destroying it? The United Kingdom has an exceptional ability to track the movement of its citizens, using simple conventional CCTV - no spy satellites even needed.

In the free West, we deride the Stasi and the KGB. We talk about China's vast number of people employed to snoop on their own citizens, but we don't acknowledge the work of GCHQ and the NSA. Have we forgotten Edward Snowden's revelations so quickly? The Government read your fucking emails and the police - the regular ordinary police - have a backdoor into Facebook to read all your private messages.

Nothing to hide, nothing to fear. If you believe that, why do you feel stressed if a police car is following you when you're driving, and a sense of relief when the police overtake you and disappear over the horizon? You have insurance; you've had your car's roadworthiness tested; you've paid your road tax... nothing to worry about, right?

It was only a short time ago that I was deeply indoctrinated by my schooling, that had shaped me into a meek conformist - I was fearful of defying any of society's rules and regulations. A family friend wanted to go fishing with me, and I said we needed to obtain a permit. "Our prisons are full of people who got caught fishing without a license" this friend laughed. "What are you in here for? Murder. What are you in here for? Fishing without a license" he continued jovially.

The city centre is crammed with 50,000 protestors preparing to march. I walk past a police cordon and I can hear a police officer yelling at me that I can't go the way I'm going, but I know that he'll be busy dealing with my obedient friend who will have stopped per the instructions. I keep walking, pretending to be unable to hear the entreaties to return. The policeman lets my friend go and we walk to the head of the march.

I'm sure that anarchy would be a disaster for sick and vulnerable people. I have no desire to see civilised society crumble. We can't all do whatever the fuck we want, whenever the fuck we want. Perhaps if everybody acted like I did, it would be the end of the world as we know it.

"Don't walk" says the sign in the United States. I jaywalk with gay abandon. Even in Manchester people look at me like I'm mad and suicidal, for the way I cross the road. However, it's done with such confident aplomb that nobody challenges me. I notice that people who are surrounded by plenty of steel and glass and plastic, such that they would suffer no injury at all if they killed me to death with their motor vehicle, do not give a single fuck about whether I live or die. In London, a motorist will slow down or even brake, to avoid killing a pedestrian, but these provincial plebs treat human lives with no such sanctity.

To live in a crowded city is to be humbled by humanity. To be detained against your will on an underfunded psych ward is to humbled, also. In the city, you are forced to confront your pathetic meaningless existence, as an ant crawling in its nest would be, if it had the faculties to perceive itself and its surroundings. But an ant's nest is akin to a row of gleaming skyscrapers, insofar as being a testament to what can be achieved by a society working together. On the psych ward, you are forced to confront your powerlessness over forces greater than yourself - society will exclude its troublemakers.

Perhaps you think I would endorse heroin being sold in supermarkets and that babies' pacifiers should be replaced with crack pipes?

As six police officers pinned me to the ground and my bum was injected with lorazepam, in the Accident & Emergency department of a hospital, I noticed a cleaner and a security guard nearby - some of the lowest paid people in society are often completely unacknowledged for the role they play in maintaining the division between the peasants and the aristocracy. My face was inches from the floor, but the policeman's trousered knee on my head was clean and so was the linoleum. Circles of red and green blinked at me - the police bodycams, videotaping the whole gruesome specatcle. I'd fallen from grace, but I hadn't slipped anywhere near the bottom - it's a long way down.

A friend whose judgement I trust and respect, tells me that I should drop the bad boy image of "the guy who got fucked up in Manchester". She knows that people are watching and I'm misrepresenting myself. She knows that people are lazy and won't look any deeper than the superficial image that I present.

Is my life - and the way I document it - by accident or by design? Do you imagine that when I'm writing, I don't think at all about how things are going to be perceived? The joke's on you if you don't read what I write with the prerequisite pinch of salt.

If you just dip in at random - like a care quality inspector - then you will get a random impression. On a good day you'll get a good impression. On a bad day you'll get a bad impression.

Do you think the graph above shows that things are improving? No. No it does not. Things are getting worse. Much, much worse. The data above shows conclusively that during the period under examination, there was a fourfold increase in the very metric that was supposed to be cut by 80%.

Do you remember blue tablet man? Well, anyway, he assaulted a nurse for giving him a yellow tablet (5mg of diazepam) instead of a blue tablet (10mg of diazepam).

A drugs dog sweeps the ward. The patients believe the dog can sniff out cigarette lighters. I ask the handler if the dog can sniff Spice and he confirms that it can. There's Spice everywhere on the ward, despite its deleterious effect on the mental health of susceptible individuals - prodromal schizophrenia can turn into fully-blown psychosis under the influence of the powerful synthetic cannabis, making it all the more concerning that it's so widespread on an acute psychiatric ward.

The patients here are the lucky ones and they know it. Everybody agrees it's better to be here with a warm dry bed and three hot meals a day. Everybody agrees it's better to be here, where the chances of being beaten up and/or robbed are minimal. With winter on its way, months of unimaginable suffering lie ahead of Manchester's homeless population, which has increased 1,100% in just 7 years - and a huge number of them smoke Spice.

Abandon hope all ye who entered the world from the mid-1990s onwards. What are the prospects for the youth of today, and the glut of graduates who were promised that indebting themselves and spending three or four years at university would be a good move?

Does it not seem like an obvious reaction to a decline in living standards, to retreat into drugged-up oblivion?

We're sifted and sorted and dissected by tests. We're examined, inspected and measured in every conceivable way. We never have any respite from the world's desire to label us, grade us and monitor us. The pressure to meet the expectations placed upon us is relentless. Some of us will crumble and have nervous breakdowns or be paralysed by anxiety disorders. Some of us will rebel and kick back at the suffocating environment that's desperate to eject and marginalise anybody who doesn't neatly fit in a box. Lots of subcultures have sprung into existence, with members exchanging knowing looks - these people are so much happier now that they have rejected the stereotype they were supposed to embody.

It saddens me that the hard-working staff on the ward are anxious and on best behaviour, when the other 364 days a year I know that they try their very hardest. This is just one of many psych wards, where the macro problems are greater than anything that can be influenced in the microcosms.

If you're going to randomly dip in, be careful to not make a lazy judgement based on a small sample size.

Tags: #nhs #hospital #mentalhealth #addiction #politics