Drugs

Something is ravaging through the gay community, leaving death and misery in its wake, yet few are willing to talk about it. If I’d written that sentence a generation ago, I’d have been referring to the Aids crisis. But this time the enemy isn’t a virus, but a substance called ‘tina’ or ‘ice’. It is a methamphetamine – a stimulant drug that is either smoked or injected into the veins. Tina is also called crystal meth, made famous by the Netflix series Breaking Bad. It causes a rapid increase in dopamine, serotonin and noradrenaline, which leads to euphoria, alertness, energy and self-confidence. It also triggers an almost insatiable increase in libido. It’s easy to see the appeal. But the downsides are horrific.

Vladimir Putin’s decision on Sunday to put his ‘deterrence forces’ – code for nuclear weapons – in a high state of readiness revived a fear in me that I haven’t experienced since the fall of the Berlin Wall. As someone who spent his teenage years during the Cold War, the threat of nuclear war was never very far from my mind. Indeed, one of the biggest political battles back then was between unilateralists and multilateralists and I was firmly in the latter camp, even starting a local anti-CND group called ‘A Sensible Approach to Nuclear Questions’. But the two sides were united in their fear of Armageddon, only disagreeing about the best way to avoid it. Peak anxiety for me occurred in 1980.

Almost everyone here that I’ve spoken to about it assumes that the opioid crisis in the United States won’t ever come to the UK. Yes, the problem there is accelerating. Drug overdose deaths in America are now at more than 100,000 a year. A few days ago the Lancet predicted 1.2 million dead by 2029 but… it couldn’t happen here. We hold up those three sacred letters — NHS — like a talisman to ward off the evil. We tut about Big Pharma and its undue influence in Washington, we remove the Sackler name from galleries and museums, and then we get back to watching America overdose on TV. The opioid crisis in the US is almost its own entertainment genre these days, with any number of documentaries and dramas available to stream.

“Imagine taking a pill that makes you instantly feel relaxed, and then imagine that when you stop taking it, you feel worse than when you first started.” That's how one user describes benzodiazepines, a psychoactive drug prescribed to treat insomnia, anxiety and seizures. But while “benzos” can have some short-term benefits, habitual use can cause long-term damage. Another user writes that his benzodiazepine addiction was “harder to overcome than heroin.” A young professional I interviewed said she'd never had addiction issues before trying benzodiazepines, which were prescribed by her doctor.

I hate weed. Week after week, I see the tragic effects of this substance and how it destroys the minds of the young. I work on a mental health ward which, like many around the country, is home to some of the victims of our current lackadaisical attitude towards cannabis. This drug is particularly dangerous to the developing brains of young people and yet we know that this age group are the most likely to be experimenting with it. Despite protestations from the powerful pro--cannabis lobby, it has been proved beyond doubt that cannabis use is associated with depression, anxiety, psychosis and avolition (poor motivation).

I’m not going to lie, I let out a little chuckle — maybe even a murmur of approval — when I read that the government plans to target middle-class drug users. About time, I thought to myself. For too long the so-called ‘war on drugs’ has focused on the poverty-stricken poppy-growers in far-flung fields, or the desperate ‘mules’ who risk life and liberty to get drugs across borders, or the working-class kids in the UK who get caught up in drug-dealing because they feel they have few other prospects in life. And all the while the privileged people whose narcissistic needs motor this industry, whose selfish desire for a synthetic high is the driver of all this risk-taking and crime, get off scot-free.