In 40 minutes I turn 33 years old, and every year passed gives me pause to reflect on how a deal I made in my youth. When I was 24, and severely depressed, I imposed the date of my own execution. If things did not improve by age 30, that was it.
I was going through therapy at the time, and probably my 3rd major depressive episode, but quite certainly the worst until that point. In truth, it carried on in some fashion until I was around 29, before disappearing for a brief time. At this time the deal was still there.
Around 2017 I suffered the worst depressive episode, and during that time decided to move into psychiatry. In a grandiose manner, I decided to sublimate my pain into helping others. This was selfish, to think my experiences would entitle me to such responsibility.
Soon after I hit 30 years old, and although I was not fully better, the day of death came and went. Six years of silent measurement against an unknown goal faded, and the dreams of reconciliation against a depressed mind seemed far away. I needed that promise to cope at the time.
It's funny, looking back, at who I was then. This insecure, narcissistic, and wounded creature, selfish and blaming others for my issues. It took a long time to see the problems I created and much longer than I would have liked. I lost a lot because of this.
I lost friends, love, aspirations, and most poignantly, myself. I became entranced by these toxic-masculine ideas of what it was to be strong when all I needed was to make peace with my weaknesses, to see my flaws as a human, not a disappointment but just part of who I was.
In essence, to attempt to cure my pain I was cruel to myself, embittered by loss, angry at the world, and for what reason? How much of this was me? How much of it did I create? Seemingly most of it, but I was blind at the time.
So each year older I look back at that time, and the age of 30 and the silly promise, and remind myself that nothing was gained through cruelty, through expectation, through pressure, or through hiding pain. Survival was a kind reflection, self-honesty, and empathy.
It was realising that no man is an island unless he chooses to be, that love and friends lost do not occur outside of one's control in many cases, and that what is lost does not need to be regained. That life is simply a connection of changes that we can choose to learn from.
That our strengths come through our connections with others, our ability to admit to mistakes and forgive, to feel pain and let ourselves feel it honestly, to talk, to find meaning, and to let time pass. We also need to be honest with ourselves, take responsibility.
There is nothing in this world that is deserved of any of us, no morality, no universal ethic, no right or wrong other than our creation, the world will not wait for us or make deals, nor hold our expectations in respect. It comes to us to grow, and sometimes, this takes pain.
So, at 33, this year I do not raise a glass of Whiskey or smoke a cigar as per the last 10 (I have not the former, and I quit the latter,) and this time only ask one thing, that those in pain, like me, consider this; every day that passes is one more toward recovery.
Although I have been depressed again since, this time each episode helps me learn more about the role I play, and how to improve. Yes, they are awful, but without them, I would have continued the same person, not one I could be proud of.
So here is to one year older, hopefully, a little wiser, definitely a bit more tired and chubby, and, I hope, someone that the 24-year-old me could look to with hope. It's okay little guy, you didn't lose the world, you were just yet to find it.
And to those who wonder, including my family who I know sneak a look here, I am fine now. Therapy and medication, support and purpose, and most importantly, knowing that I have you all. There is no story alone.

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More from @drjanaway

8 Oct
Reflections on psychiatry/thread

Some days I find myself overwhelmed by the true responsibility I find myself wielding. The power that comes from it, the fear I must counsel and the insanity I must often make sense. Today was a day like this. Today I made some realisations.
I refer mainly to acute psychosis and its treatment, including the need to bring people into the hospital. This can be a shock, not just to them, but to their families. A family has its own culture, as well as a greater one. An admission can mean different things to each one.
For many, they see the admission of their loved one as a failure of their own function, as if they are to blame for one's sickness. I rarely saw this in general medicine, as if physical illness had a special exception from blaming one's self.
Read 8 tweets
28 Sep
Just spoke at length to people protesting #covid19 vaccine in teenagers. They held placards quoting MHRA death figures and asking why the media was complicit. Here is a little more on what came up
First, they did not know that most reporting systems such as VAERs are not analysed. They did not understand the need for covariate analysis and what the data actually means.
Secondly, they claimed that no doctor had said that myocarditis from the vaccine is less risky than from covid. Many did not know how covid kills people, or once again about how the data could be skewed. Their research appeared very one sided.
Read 17 tweets
17 Sep
Wake up in Britainland

Turn on GB news for Breakfast rage against the refugees with Katie Hopkins. Turn my kettle to 189 Fahrenheit and empty 4oz of coffee into my 3-hands width chuckle-brothers mug. It will be a good day in the mines.
Its 4 cubits past eleventy, and mandatory tea and national anthem break. We salute statue of Moggmentum and pay pride tax. Lunch of carrot and a crown pint. In afternoon we get ready for book inspection, no forrin names. Ride daily bus home.
Radio tuned to Priti Patel reading list of dissident children as red-faced men spittle in displaced rage from their failed marriages. Dinner is wetherspoons fine british slurry. 8pm curfew apart from drinkers, got to level up. Rishi sunak patrols westminster to check.
Read 7 tweets
16 Sep
Looking forward to 'more British shows on TV. I have a few pitches:

'Queues and views.'

Piers Morgan interviews people in the Greggs queue about controversial political issues and then storms out. Celebrity guests include Johnny Vegas and Larry the Cat

#Britishness
'Great teas of the Island'

The ghost of Maggie Thatcher invades the homes of pensioners and ensures they are not drinking PG tips. Episode one includes Judi Dench performing an exorcism. Music provided by Ed Sheeran.
'Priti Patel; Refugee roundup'

A documentary series follows the beleaguered home secretary as she teams up with the 'Clandestine threat commander' to chase asylum seekers with a large net. Sponsored by Wetherspoons. Music by Morrisey.
Read 9 tweets
14 Sep
Seeing alot of people confused about #NaturalImmunity vs #vaccineinducedimmunity vs #passiveimmunity with regard to #covid19.

Hope this helps clear it up (some good explanation here)

- Pleb ImageImage
Alot of it has been "we have a natural immunity to covid 19." This is only true, as per above, if we have been infected with it. We don't have a natural immunity without exposure, just the ability to develop it. And not all immunity is total.
Someone referring to the acute phase response (i.e the initial non-specific response, fever etc) is referring to part of the immune response, but the term "natural immunity" refers to this priming process as explained above. In covid 19,acute phase response is not enough for many
Read 4 tweets
12 Jul
Reflections on last night: #eng #racism

We did an incredible job getting to the final, scenes not seen for a generation. A diverse team championing what England aspires to be, a progressive collective moving toward a shared goal. Each earning more than their keep.
I applaud each of them, but special mention must go to @BukayoSaka87 , @MarcusRashford, and @Sanchooo10 who have not only represented a community of people under duress from common people and elites alike, but shown that ascendence to greatness is individual.
Reading the words of @GarethSouthgate from earlier this year, it is clear that the @England team is very much forward-thinking in tackling #racism and he, himself, a great and empathetic leader, is forthright in tackling, against potential anger, this great cause.
Read 25 tweets

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