Through a glass, darkly.

5. I undertake the precept to refrain from intoxicants which lead to heedlessness.

My response when I first read this precept was a bitterly muttered, brow knitted ‘fuck that’.

It hasn’t really changed much since then.

This could be the one, the big one. More challenging than the lying and the stealing and the killing and the lusting that I have already quite openly admitted I indulge in. Those, push come to shove, I am prepared to forsake in the name of enlightenment and release from samsara. However, turning my back forever on a glass of Shiraz over a home cooked meal, or a crisp, ice cold bottled larger in the beer garden of my beloved local, I am not. At least not right now, anyway. And yes I know how lame that sounds.

I am not a booze hound but I like a drink. I would say I get fairly sloshed at least once or twice a week. If it was up to me I would drink something most nights. Especially wine, but I love most alcohol from stout to asti to whiskey to just plain run of the mill 3.99 bottles of plonk that are on offer at sainsburies. It’s the taste, yes, but not only that, it’s the intoxication. Definitely the intoxication. I like the numbness that spreads from the tips of your fingers and loosens your muscles and your tongue. I love the feeling of detachedness, I adore the way it makes me want to laugh and laugh and talk and talk and even, scarily, (at least for observers) dance. I am less into the whole vomiting- crying- arguing- depression vibe that sometimes comes along with it. But I, over the years and many bad trips have basically got to the point where I can control my drinking so I hardly ever get bummed out.

The catalogue of strict rules I have created to govern my drinking is quite impressive: I don’t drink when I’m having a bad day. I don’t drink when I’m depressed, or, god forbid, because I’m depressed. I don’t drink when I’m nervous or in a crowd of people I don’t feel comfortable with. I don’t drink in very busy places, I usually only drink with food. I don’t drink alone, unless it has been specifically cleared that I can and even then this is a very rare indulgence. I don’t drink neat spirits and treat spirits full stop with great caution. I don’t drink the day before something important. I don’t ever, ever, drink in the middle of an argument. I don’t drink on antibiotics or painkillers. I don’t mix my drugs; Valium and booze is a big no no. I very rarely mix my drinks, either, I tend to have a wine night or a beer night or whatever; I’ve just found it works better that way. I don’t drink and watch horror films. I don’t drink and listen to sad songs for hours on end. I don’t get sloshed in places I don’t know very well unless I’m with people I trust who do. I do drink a pint of water before I go to sleep. I fetch a bucket to keep by the bed; just in case. I do sleep on my stomach. I usually eat something before unconsciousness hits me. I do sleep straight through. I do set an alarm. I do eat breakfast. I don’t let the hangover wreck the next day, however bad I feel.

Each of these rules (of which I am sure there are many more) has a history and have been devised over many years of mistakes and practice. They may seem strict and not very rebellious, but I don’t mind keeping them, as they in turn keep me safe.

More importantly, they keep me drinking.

The beauty of booze to me in a nutshell is lubrication. I can do without the giggling, without the double vision and the crazy stupid dancing. But the systematic destruction of inhibition glass by glass, the way it turns an awkward group of strangers into a dancing, hugging, swaying rowdy crowd is just magic. Talking as someone who sometimes finds speech very difficult, alcohol has saved the day on many occasions. Even amongst close friends, I find there’s nothing better than the sensation of an alcohol induced revelation; the more shocking the better. The times when you confide, push boundaries, deepen friendships, delve deep into your psyche and your relationship and talk straight from the heart you are proudly wearing on your sleeve. It makes people closer and gets people talking. It kick starts an evening that otherwise may have collapsed from nerves and tension.

I totally know it’s a crutch that I am leaning on here. From a Buddhist point of view this reliance on alcohol is a massive hindrance to my happiness; taking me regularly away from the virtues of seeing true reality, clarity, and awakening. Hopefully I will do without it one day. The long term plan, in my own mind at least, is that I will get so strong in my meditation practice my personality will become properly integrated and I will become so self assured that the very idea of having to pour chemicals down my throat to cope with a night out seems ridiculous. But for now doing without it is beyond the realm of possibility. I have always turned to chemical assistance to avoid reality or at the very least to blur it. Alcohol and intoxicants to me have always been the mental version of taking my glasses off; in drunkenness everything seems that less bit dangerous, less intense as the edges blur and swirl into each other. Inside, the damn inner monologue shuts the hell up for a couple of hours. I usually pass out in a state of happy oblivion. It is bliss. Is that a sad admission?

As I write these words I suddenly hear the imaginary voice of my teacher ringing in my ear. He is as pesky as a gnat sometimes that man!

He sits down beside me, smiles that peaceful smile, adjusts his robes slightly, and speaks:

“Jen, there is a better way to seek bliss than at the bottom of a glass. You know that deep down or you wouldn’t have sought me out in the first place. Stop fighting, stop struggling. Just learn to let go. Through meditation I have taught you a way to still your thoughts and bring you release in a gentle way that will not rot your brain and your liver. Use it.

You know that the peace and confidence you seek can not be bought at an off license, but already lies within you. You know that the heart of this precept deals not with outlawing the odd glass of Chardonnay in the summer sun but eliminating the dependence and desperation you still feel when you are sober and a night of socializing stretches ahead of you.

You know where it is to be found; the real deal, not a chemical band aid. Strive for enlightenment in all you do, through that process you will find the peace you so desperately seek. ”

It is then that I realise that the root of this clinging to the bottle is not a love of a harmless beer with my chicken drumsticks at the family BBQ, it is much darker than that; it is my deep yearning for oblivion that I can’t relinquish. This is something that is hard for me to dwell on and is tricky to explain. It is a difficult thing for people to grasp that right now I am extremely happy, leading a fulfilled life with a loving partner and lots of friends and family. I have a very happy life and have no complaints. Yet for as long as I can remember; day in, day out, I have battled deep suicidal urges. Even when I have been incredibly happy I have had the visual image of myself as a dog chasing its own tail, going round and round in circles and a lot of the time I just think ‘enough’. I’ve had enough.

When I discovered Buddhism it was mind-blowing because here was a group of people who had this same image in their heads. Here was a religion that wasn’t demanding I rejoice in the splendor of all God’s glorious creation. Buddha said the first noble truth is that life is suffering. I can relate to those words more than anything. Not in a really miserable eeyore kind of way, I do laugh a lot and go outside and walk with the birds and in the mountains; I do so often enjoy a rich fulfilling life. Not either because I have a hard life. Yes I have a few health problems and I don’t lead the regular life of an average 25 year old. But I have, in many ways, had a very easy, comfortable existence. I was blessed with many talents, a wonderful family and now a fantastic husband. I am not materialistic, I think I have my priorities right in terms of how to be happy. I may be on speaking terms with despair, it is true, but in my life so far I have also experienced genuine joy and love. But it has always been there; even in the happy times this dull voice that says ‘enough’. It is not, actually, me or my life I have a problem with. It is the act of living itself I find so difficult. The process of birth, growth, decay, death. The suffering I see all around. The corrupt society. The miserable people. The madness. The greed. The lies. The disease. The eating, the shitting, the washing, the dressing, the walking, the endless endless talking. Even the laughter, sometimes, when it often rings so hollow. The act of breathing is so difficult, sometimes I just feel like I don’t ever want to take another one. The empty futileness of it all often weighs heavily on my heart.

Anyway, happy thoughts.

But that is why I drink I guess. That’s the root of it. It’s my own way of saying ‘enough’, of hovering for a couple of hours in the exit without actually going the whole hog and jumping off the Ouse bridge. If I didn’t have the release of alcohol then I’m scared where it would end up. Getting trashed is like a valve being released in a pressure cooker, at least sometimes, anyway. Not that I’m trying to paint a bleak picture, its not like I consciously think ‘oh I must get wasted tonight or I’ll kill myself’. It’s not like that at all. But I think the drinking does act as a release of these negative feelings and allow me to take a break from reality for a while, a reality that sometimes I find difficult to exist in.

Fortunately for me Buddha’s four noble truths do not end with the fact that life is suffering. In the rest of the truths and in fact in the whole body of his teachings he details a ‘cure’. It is the fact that Buddhism provides a practical system for finding genuine happiness (and eventually genuine oblivion, I suppose) detailing a way of escaping the cycle of suffering that makes it so appealing to me. I have already learnt so much from its teachings and found so many of them to be sound. I am already, since discovering the Buddhist path, that bit less desperate on a Friday night to get off my face. I am finding my teachers words to be the truth; through my meditation I am more peaceful, more satisfied and most importantly, now I have the goal of nirvana in my life, it makes the notion of suicide seem inferior and unappealing. My steps might be small, like those of an infant, but I am making progress all the time.

So one day maybe I will be writing this not with a vodka lemonade in my hand, as I am so accustomed to but a cup of green tea. Maybe I will take this precept or maybe I won’t. What I would like to live without though is the need to escape. I would like to face reality and myself without the crutch that alcohol gives me. Maybe one day I will actually listen to my wise, wise teacher and seek my release in more constructive ways than drinking. But for now I am drawn to the allure of the booze: Tom Waits is on the radio and Bukowski is in my bookshelf. I realise that for the time being, at least just yet, I’m not quite ready to hop on the wagon and ride into the sunset.

The Birthday Blues

Oh God, how much I love The Guardian. Or The Observer as it is called on this long soapy showering, real coffee drinking, should be eating hot buttery croissants (but actually eating lukewarm ready break) day of rest. And God, how much I love the fact that it is free for me to read on the internet. I truly hope it always stays that way. There are some thought provoking articles in there this Sunday, including this article about Prozac, which got me thinking:

Prozac is twenty years old this week. Somehow I didn’t think it was as old as that, but then don't listen to me, occasionally I still go to write 1999 when signing in the date box next to my name. Sometimes I think I might, on some level, not have fully left behind my A level years. Part of me, somewhere, still longs for a headspace free of responsibilities. I hark back to a time when I carried around volumes of my mispelt stoner poetry that, naturally, was on the verge of getting published. Back then, everything that was happening to me was the first time it had happened to anyone. I was so irresistible that my religious studies teacher was about to leave his much loved wife and kids for me. I just knew I could get straight A’s without doing any work. Of course I could single-handedly bring down conservative Christianity, Patriarchy, and Right wing politics in general just by reading Bukowski, Nietzsche’s ‘The Antichrist’ and Greer’s ‘The Female Eunuch’ like they had only just been published and were written for me alone. Back then, consuming Marlborough reds, tenner deals of petrol laced ‘rocky’ and whole bottles of Jack Daniels comprised the highlights of my tiny self absorbed existence. Delusion was piled upon delusion but I never quite managed to kid myself. Inside me a tornado whirled and consequently the year 1999, the last of my school career, was also the date I first got treated for depression.

The doctor’s appointment was short. That’s mostly what I remember. I was very nervous, my hands were shaking. I think, although I am embarrassed to admit it, it might have been the first time I had been to the doctors without one of my parents present and I was terrified. In hindsight now I know my symptoms were pretty mild. I wasn’t sleeping well, was feeling agitated and distracted, couldn’t concentrate on schoolwork and was off food. My thoughts, although often intense, had been getting darker and bleaker in nature. In short, I just wasn’t feeling my usual chirpy self. It was like I was trying to run a race with treacle on my shoes. I also was worrying a bit obsessively about some stuff that had gone on in the past, and this was manifesting itself in some ways even I knew were strange; like not being able to sleep unless I counted to a hundred twenty five times without missing a count and if I did then starting back at the beginning (hence the not sleeping). But in no way was I chronic. I was not suicidal, I did not self harm, I was functioning in my day to day life. I wasn’t crying non stop, my mood wasn’t all that low a lot of time, even my attentive parents hadn’t really noticed a dramatic change.

In other words, the weird counting thing aside, most of my symptoms could have just been put down to A’ level stress or teenage angst. Maybe in a different age they would have been. But there are three key details I remember about that doctor’s appointment:

a) There was a Prozac clock on the wall tick tocking away as we spoke.
b) The doctor was writing with an Eli Lilly pen.
c) Her coffee, which smelt nice, was contained in a mug that proudly displayed the word ‘Prozac’.

And less than five minutes later, I left her room, clutching a piece of paper in my hand that said words which amounted to the same thing: ‘Fluoxetine: 20 mg (one to be taken twice a day)’

Questions asked to me in that interview:

What’s the problem? (I told her the above symptoms)
Are you feeling suicidal (I laughed and said no)

Diagnosis after that literally three minute assessment:

Mild to moderate clinical depression. Possible obsessive compulsive disorder.

Treatment:

Prozac for six months to a year. Then come back and see me.

I don’t even think this is a bad diagnosis in terms of our health care system. Something wasn’t quite right with me and I think many psychiatrists and doctors up and down the country would have made the same call. As skeptical as I am about the psychiatric classification system you have to have some kind of guidelines for diagnosis, I suppose. The real beef I have is with the thoroughness and type of treatment that was offered to me and the care that was available. First of all, taking three minutes to diagnose someone with a mental illness, even if it is one of the milder so called common colds of the mental health spectrum is simply not good enough. The patient education and aftercare system was appalling, after being diagnosed with what to me was quite a significant problem, I was just left to get on with my life. Not even a fucking leaflet or a Samaritans phone number. This is worsened further by the fact that I was, technically at this time, a child. I had just turned seventeen years old and I was very confused about the whole thing. I was somewhat educated, I knew from reading bits and bobs on the internet and from knowing friends of the family with similar problems that having this diagnosis didn’t make me ‘nuts’. But no one, not even the doctor checked to make sure I knew that.

When I left that appointment, and for months afterwards, I felt dramatically more ill than I had done before I went in, simply because my symptoms had been given a name and had been categorically brought into the realm of ‘sickness’. It reminded me of when, as a kid, you went to the doctors with a sore throat thinking you might, if you’re lucky get given a day off school and then are told you have tonsillitis and need antibiotics. From that moment on, even if previously you had been feeling okish, for the next week it takes a crowbar to prise you from the sofa, you feel like you have swallowed sandpaper and all you can eat is ice cream and tomato soup. It's genuine, but it is also, to a certain extent, psychosomatic. Firstly, this is a very common reaction to being diagnosed with any illness, but especially mental illnesses, and someone should have been there to talk me through that. Secondly, I’m not saying my symptoms should have been ignored, but by medicalising them and giving me a diagnosis when I was so young, sending me into the wider world with a label (always a dangerous thing to give a teenager), rather than to a counsellor to talk about some of the stuff that was bothering me and thoroughly assessing my case, was, in my opinion, wrong. Also, unhealthy aspects of my life that I now know were having a massive impact on my mental health, such as my bad diet, my excessive alcohol and drug use and lack of exercise, were never even mentioned, let alone explored. If all the ‘common sense’ stuff had been dealt with before telling me I was sick and pouring Prozac down my neck, well things could have turned out very differently.

They talk about cannabis being a gateway drug for heroin and crack. Now, I don’t personally follow that logic, but if I did then I’d have to concede that Prozac was my psychiatric gateway drug. Since that day I got written the prescription, nearly a decade ago, I have not been off psychotropic drugs. In a typical dealer fashion, they have got harder and harder, pushed with more and more force and coercion. As my mental health deteriorated further over the years following that appointment, I moved from Prozac and Seroxat to Lithium and Valium to Risperdone, Stelazine, Beta Blockers, and dozens more. It’s got to the point now where I’m practically a drugs connoisseur.

There are, it seems, two ways of looking at this:

1) The official line. My episode, at the age of seventeen was clearly worrying, with the potential to develop into something disastrous. The experienced doctor who had seen this thing many times before was good to pick up on these signs and treat them accordingly. Drug treatment is the most quick acting and effective treatment for depression recommended by the NHS, and Prozac one of the most effective in this family of drugs, especially considering the OCD type symptoms I was displaying. The doctor followed what was the recommended course of action at the time. It was simply unfortunate that I was resistant to Prozac, and many of the other drugs she and subsequent doctors threw at me, My illness, now rediagnosed as the more chronic and lifelong bipolar disorder is notoriously difficult to treat, and with hindsight, it is unsurprising that a small dose of Prozac didn’t make me better. However, the doctor, not knowing those facts, acted correctly.

Or

2) My line. If I had been offered counseling in that first appointment which had been the course of action I wanted (I was, in fact astounded that it was that easy to get a prescription) rather than the tablets that the drug pushing companies pressure their GPs to prescribe, then I may have got to the root of the problem a lot quicker and never needed drugs. Also, If my symptoms had been treated as normal and teenage, rather than sick and mentally ill, at least in the first instance, then I may have thought of the situation in a whole different light and who knows where it would have ended up. I just have this nagging feeling in my head that without all the mind fucking chemicals that were relentlessly pumped in experimental cocktails and huge quantities into my head at such an early age, my brain could be a very different place right now. Also, from a psychological point of view, without all the confusing (and often conflicting) diagnostic labels being stuck on me like superglue, maybe I would have a better self image and be leading a healthier, happier life. There is something fundamentally damaging to be told your brain and personality isn’t working right before you even hit your eighteenth birthday. After all, self perception is of paramount importance. As a young woman to be told by those in authority that you are sick in the head, with all the stigma and implications of such a diagnosis, could be something that, in itself, makes you sicker. In other words, maybe I’d be better if I’d have never gone to the damn doctors in the first place.

I’ll never prove it of course. The establishment will always argue that I needed the medicine, that it has been good for me, that without it I might even be dead. And maybe they’re right. But I will never forget that doctor sipping from the Prozac mug, and the way she didn’t even pause for thought before signing the brain of a child away to a chemical that, I later learnt, was surrounded even back then by controversy and doubt. So happy birthday, Prozac. You may have saved a lot of lives, but you’ve also helped trivialize and oversimplify a complex and dehabilitating illness, and have changed the face of psychiatry to one dominated by branding, advertisements, and false, false promises. Once, back in 1999, I believed them. Now I can’t help but feel a little bitter. Forgive me if I don’t sing whilst you blow out your candles.