Chris Worfolk's Blog


Sedated

July 11th, 2025 | Books

Sedated: How Modern Capitalism Created our Mental Health Crisis is a book by James Davies discussing the rise in use of psychiatric diagnosis and antidepressant prescribing.

Davies charts the rise of the DSM, Diagnostic and Statistical Manual of Mental Disorders, which is the standard textbook for psychiatric diagnosis. Now on the revision of its fifth edition, the DSM has massively expanded over the decades to include ever more labels. These labels have no biological basis and are generally the consensus of small committees many of whom have financial links to the pharmaceutical industry.

The author then goes on to connect this to the rise of neoliberalism. As Thatcher dismantled trade unions, increased inequality and reduced working-class people’s quality of life, something was needed to explain this suffering that depoliticised and managed that suffering. The answer was labelling people as mentally ill.

Today, if you are sad because your zero-hours contract means you both have a job and still need to rely on food banks, it is not because of inequality it is because you have an anxiety disorder, or a depressive disorder. It is you, the individual, that is broken, and not that you are living in an unfair society, or so the biomedical model of mental illness would have us believe. And wouldn’t you know it, uber-capitalism can sell us the solution in the form of some antidepressants or a course of CBT.

Some people do find labels helpful. But currently, this is the only lens we are using. And often, the only solution is antidepressants, or if you are lucky some non-trauma-informed CBT.

Thus, mental health has been redefined to conform to the needs of uber-capitalism. Someone who is “mentally well” is someone who can work. IAPT was explicitly set up with the idea of getting people back to work. And programmes like mental health at work initiatives or Mental Health First Aid try to teach us that we should find new ways to handle the suffering caused by low wages, lack of job security and 24/7 work stress.

Work can be meaningful and promote self-esteem. But many jobs today do not provide any dignity. 10% of nurses are using food banks. People are being forced into the gig economy never sure if they will get a pay cheque. People work in warehouses that are gutting their local high street while their bathroom breaks are timed.

Crucially, everybody suffers. Even those with well-paid jobs find themselves lacking meaning and social connectedness. So we try to fix it by buying more stuff. This creates a cycle of consumerism, and then having to invest in security systems and increased policing to protect our stuff, and that in turn divides communities further.

So, what do we do about all of this?

First, we need a model of mental health that targets the root causes: inequality and social isolation. Putting more money into training counsellors will not help because individual distress is a symptom of wider social problems and not something that can be fixed in itself.

Second, we need a wellbeing economy. We need a form of capitalism that works for the benefits of individuals, not for the benefit of capitalism itself. A good start would be undoing the harms of deregulation and rebuilding trade unions to move away from uber-capitalism to more balanced social democracy. This is the exact model that operates in Nordic countries who have the highest quality of life.

Mountlucas parkrun

July 7th, 2025 | Sport

Mountlucas parkrun takes place in the Mount Lucas wind farm. It is a single lap trail course and you get to pass right underneith the turbines: their foundations are just off the side of the trail and the blades pass over your head.

Lovely to have the one lap and I got a warm welcome from the volunteers. Thanks everyone, and happy 8th birthday!

Kilkenny Triathlon 2025

July 6th, 2025 | Sport

I completed Kilkenny Triathlon two years ago when the swim was cancelled due to water quality. That meant the last open water race I had finished was IRONMAN Copenhagen three years ago and my confidence was not in good shape coming into this race. I registered for the try a tri as it is the same course as the sprint but with a shorter swim.

I got down there and registered fine. Despite the cloud cover it was baking hot, especially once we had our wetsuits on. We walked down to the swim and I felt nervous, especially when getting into the water. But I did it, and despite plenty of in-water nerves, too, I finished the swim.

The bike was pretty standard. Some back ache towards the end but I generally just had fun. I don’t think I used my aero bars much.

The run course was different to previous years. Last time it followed a similar route to the parkrun course with two laps around the castle grounds. This course took us onto the side of the river behind the castle and then back along the river in a lovely one-lap circuit.

My overall time was:

1:23:46

In 2023 it took on a duathlon format with an additional run at the start I cannot compare the two. Slightly slower on the cycle an slightly faster on the run, though it was probably a little flatter. My T1 looks horrendous but the mat was at the bottom of the hill by the river and included a long run up to transition.

Discipline 2025 2023
Swim 6:26 N/A
T1 8:13 2:10
Bike 42:41 39:49
T2 2:28 2:04
Run 2 23:59 24:20

I’m not fuss about the times in any case, I just wanted to finish a triathlon with an open water swim again and I did that so job done. I’m proud of myself. Also, it was fun!

Mullingar parkrun

June 29th, 2025 | Sport

Lovely parkrun along the canal. It looks like an out-and-back, but it’s actually a loop as the canal towpath and greenway run parallel to each other. Technically then, it is one of the few single loop parkruns! It was supposed to be dry all day but rained the whole time. Classic Ireland.

Skerries Triathlon

June 28th, 2025 | Sport

Skerries is a popular triathlon that takes place up the coast. We organised a relay team for the club consisting of Chris L swimming, Hugh cycling and myself running. I’ve never done a traditional relay before so I was excited to give it a go.

The biggest pain was that registration closed at 7:15 in the morning. I’m sure lots of races start this early and I’ve just forgotten, but I did not appreciate the 5 am alarm to meet Chris at 6:00. Still, all was well and we got down to the race in plenty of time. At which point there was not a lot to do because we had very little to set up in transition.

The swim starts off down the beach and goes out in the bay and then along the coast to Red Island where transition was located. Despite not having raced a sea swim before, Chris was one of the first out of the water from wave two, which is where all the relay swimmers were placed. He was so fast he almost took us by surprise. The way it works in relay is you have a transition pen where you hand over the timing chip ankle bracelet.

Hugh theen set off on the bike. There was a strong headwind going out meaning that the athletes on the time trial bikes had a big advantage. Despite this, we think Hugh was around 11th fastest overall on his road bike. I was nervously waiting in the pen at this point. And I was nervous. We were in the lead and I did not want to blow it, but I also knew how much it was going to hurt. I got a proper warm-up in and then did some pacing while we waited.

My turn on the run. It was a wierd experience. Usually, I have come out of the swim near the back and spend the entire run overtaking people. But today I was out with some of the faster athletes and while I still managed plenty of overtakes, there were also some people that came flying past me.

At this point, I did not know what gap we had on the team in second place. I thought I knew what their runner looked like but wasn’t sure if maybe I had missed him. Maybe they were only five minutes behind and he was an 18-minute 5k guy. The run course is a beautiful out and back along the beach and as I came to around the 3.5/4k point, I saw the second place team’s runner heading out on the run. At this point, I knew we had it in the bag! Cue a classic finish line celebration.

Some may try to diminish our victory by saying that there were only five relay teams in total and that everyone else was just there for the craic. But having never won anything in triathlon before, I’m chuffed to bits. You can only beat who turns up on the day. It was a well organised race at every point so a big thank you to Fingal Triathlon Club for organising.

Clonea Beach

June 27th, 2025 | Travel

While we were down in Waterword we hit the beach. We had already ben to Tramore and Dunmore East so we decided to head over to Clonea in Dungarvan. Beautiful sand and I managed to get a sea swim in.

Venla and I also built a sand castle. Classic three-ring construction.

SETU Arena parkrun

June 26th, 2025 | Sport

Still chasing down some Ses for the snakes challenge. This one was number seven. Lovely parkrun. Four laps of the sports field, so not too exciting there, but the volunteers were lovely, it was fairly flat and they had a nice cafe with toilets in the leisure centre so there nice to hang out after the run.

Teddy’s ice cream run

June 25th, 2025 | Sport

Every year, Blackrock Atheletics organises a run down to Teddy’s ice cream in DĂșn Laoghaire and the club buys everyone an ice cream. This year, I finally made it! Thank you to Gerry for organising.

Bartleby, the Scrivener

June 24th, 2025 | Books

Bartleby, the Scrivener is a short story by Herman Melville. It tells the story of a lawyer who hires a new member of staff, Bartleby. At first Bartleby works hard but gradually refuses to do any work or even leave the office, answering each request with “I would prefer not do”.

It’s well worth a read. For me, the exploration of the psychological processes the lawyer goes through in responding to such a situation are both relatable and fascinating.

The Burnout Society

June 19th, 2025 | Books

The Burnout Society is an essay by Byung-Chul Han.

In the essay, the author argues that there is too much positivity in the world. We now live in an “achievement society” and a “can do” culture, but we are the poor saps that have to do the doing. We find ourselves in a perpetual state of hyperactivity, unable to say no.

Traditional models of psychotherapy stem from Freud. But Han argues these are based on the repressive values of the Victorian era. Today everything is permissible and there are no rules, except that we must achieve and the potential to achieve more is endless, leading to burnout. We never reach the ultimate goal or achieve closure.

Traditionally, capitalism has achieved oppression by directly oppressing the working class. But in this new world, we are victims of self-oppression, believing that we are free and simply striving for better, which is supposedly good somehow, but are actually still mere slaves to the capitalist machine. Reduced to the essence of life, health becomes the new goddess. All focus is on keeping the body alive to serve the machine of capitalism.

It’s a hard read. It’s like reading Marx; I felt like I had been dropped into the middle of conversation at times and, again like Marx, he flips between a few different languages. Worth trying to get your head around, though.