Still Standing — ZACK TECHNOLOGY LLC
This article is dedicated with all my love to
✦ Audrey Qayoumi ✦
You were here. You were real. You mattered. You always will.
Mental Health Special
April 2026 · Personal Essay
Bipolar Type I · A Decade of Stability · Music · PlayStation · Survival

Still Standing

On Mental Illness, Music, PlayStation, Grief, and the Radical Act of Surviving

I am Zaki Qayoumi — founder, journalist, gamer, and a man with Bipolar Disorder Type I. This is not a clinical report. This is my life, narrated from the other side of a decade of hard-won stability. It nearly cost me everything. What saved me might surprise you.

I. The Diagnosis

There is a specific quality of silence that follows a psychiatric diagnosis. It is not peaceful. It is the silence of a world reorganizing itself around a new, permanent fact — the way a room becomes different after someone has left it, even though all the furniture is exactly where it was. The word "bipolar" entered my life and everything quietly shifted. Not all at once. But everything.

Bipolar Disorder Type I is not, as popular culture reduces it, mere moodiness dressed up in clinical language. It is a serious, lifelong neurological condition characterized by full manic episodes — states of elevated or irritable mood, decreased need for sleep, racing thoughts, inflated self-esteem, and impulsive behavior that can feel, in the moment, like being the most alive you have ever been — paired with depressive episodes of such density and duration that getting out of bed feels like dragging yourself through concrete. It is a condition that, untreated or inadequately managed, is genuinely dangerous. People with Bipolar I face significantly elevated rates of hospitalization, relationship instability, occupational difficulty, and in the most severe cases, suicide.

I am telling you this because I want you to understand what we are talking about before I tell you about the music, and the controller in my hands at two in the morning, and the medication on my nightstand, and the reasons I am still here.

7M Adults in the US with Bipolar Disorder
10+ Years of My Personal Stability
10,000+ Podcast Episodes (JETLAG RADIO & more)

The Architecture of Staying Well

II. The People Who Made It Possible

Stability, for someone with Bipolar I, is not a passive state. It does not simply happen. It is constructed, maintained, defended, and sometimes rebuilt from nothing after it collapses. It requires scaffolding — human, pharmaceutical, and personal. Over the past decade, I have come to understand my own scaffolding with the clarity that only years of careful attention can produce.

The first and most important beam in that scaffolding is my care team: my therapist, my psychologist, and my psychiatrist. I will not name them here, because they deserve the dignity of privacy, but I want to say this plainly — I would not be alive today without them. I mean that in the most literal, non-dramatic sense available to the English language. There were moments — more than I will describe in any publication — when the illness made existence feel untenable. It was the relationship with my care team, the appointments I kept even when every cell in my body argued against keeping them, the conversations that unraveled the darkness thread by thread, that kept me in the world.

Therapy is not a luxury. It is medicine. It is the kind of medicine that requires effort from the patient — something I learned with difficulty — but it is medicine nonetheless. The combination of talk therapy, cognitive restructuring, and the professional trust of a psychiatrist who monitored my medications and adjusted them with genuine care built the clinical foundation of my recovery. Everything else I will describe in this essay rests on that foundation.

"I would not be alive today without my therapist. Without my PlayStation 5. Both of those sentences are true, and I need both of them to be."

— Zack, ZACK TECHNOLOGY LLC

III. The Medication I Take Every Night

Every night, before sleep, I take my medication. This has been true for over a decade. I do not skip nights. I do not "take a break." I do not experiment with stopping because I feel good. One of the most treacherous features of Bipolar I recovery is that successful treatment can feel like the illness has left — which is precisely when stopping treatment becomes most dangerous. The stability is the medication working.

I say this not to perform virtue but because the stigma around psychiatric medication remains one of the most pernicious and deadly forces in mental health culture. My medication does not suppress who I am. It creates the neurological conditions under which who I am can actually exist in the world. Without it, I am not more authentic. I am incapacitated.

About Bipolar Type I — Key Clinical Facts

Bipolar Disorder Type I is defined by at least one full manic episode lasting a minimum of seven days. Depressive episodes typically last two weeks or more. The disorder affects approximately 2.8% of U.S. adults. With proper treatment — including mood stabilizers, therapy, and lifestyle management — the majority of individuals with Bipolar I achieve significant functional stability. The illness does not preclude achievement, creativity, or professional success. It requires management, honesty, and support.

Music as Medicine: The Science of JETLAG RADIO

IV. What Happens When Music Plays

I have been producing JETLAG RADIO — my flagship podcast — and working within the broader field of music therapy through my content for years. More than 10,000 episodes of podcasting. That is not a marketing figure. That is the documented, archived evidence of what music has meant to my survival.

JETLAG RADIO began as an expression of my relationship with electronic music — the tradition I grew up with, the genre that has threaded through the cultures I love: French house, ambient techno, post-industrial sound design. But over time, producing it became something more than curatorial passion. It became, quite literally, therapy.

The neuroscience supports what my body already knew. Music listening and music-making stimulate parts of the brain involved in thinking, feeling, and movement simultaneously. Research demonstrates that music increases dopamine release in the brain — the same neurochemical reward system disrupted in mood disorders including Bipolar I. A 2020 analysis of more than fifty studies linked music therapy to reduced symptoms of depression. A meta-analysis of music therapy studies found that it significantly reduced anxiety and stress in individuals with various mental health conditions, including bipolar disorder specifically. The activation of the amygdala and prefrontal cortex during musical engagement creates a relaxation response that counteracts the neurological dysregulation at the heart of mood disorders.

JETLAG RADIO · Electronic Music Therapy · ZACK TECHNOLOGY LLC
JETLAG RADIO — the flagship podcast of ZACK TECHNOLOGY LLC, produced across thousands of episodes as both creative editorial content and a personal act of music therapy. Electronic music, world sounds, and the architecture of calm.

For me, the act of selecting, sequencing, and presenting music — of building a sonic environment — is itself an act of emotional regulation. It requires that I sit with sound, that I pay attention, that I make choices about feeling and atmosphere. Over ten thousand episodes, that practice has trained my nervous system in ways that no other single activity has matched.

Music Therapy Outcomes — Mental Health Research Summary
Percentage of studies reporting positive outcomes (289 primary studies, PMC scoping review 2021)
Music therapy research: Positive results 68.5%, Mixed 16.7%, Indeterminate 12%, Negative 2.8%.
Source: PMC Scoping Review "The Use of Music in the Treatment and Management of Serious Mental Illness" (2021). 349 included studies across five serious mental illness diagnoses.

V. Music Therapy and Millions of Lives

I am not unique in having found salvation in music. Research consistently demonstrates that music operates on the brain in ways that pharmacology alone does not replicate. For people with bipolar disorder, music therapy has been shown to improve emotional expression, reduce anxiety, and provide healthy distraction from the rumination — that endless mental replay of worst-case scenarios — that is one of the most debilitating features of bipolar depression.

Active Music-Making

Producing, mixing, or performing music engages multiple brain regions simultaneously. Research links it to improved emotional regulation and reduced anxiety across mood disorders.

Receptive Listening

Intentional music listening increases dopamine and oxytocin. Studies show reduced amygdala activity — the brain's fear and stress center — during and after curated music sessions.

Podcast Production

Constructing sonic narratives develops emotional vocabulary and supports the meaning-making that is central to trauma recovery and long-term stability.

Music-Anchored Routine

Circadian rhythm disruption is a core feature of Bipolar I. Music-anchored daily routines support the mood-regulating power of consistent behavioral schedules.

The Stigma That Costs Everything

VI. What Bipolar Disorder Takes From You

I want to talk about what the illness has taken. Not because I am interested in cultivating victimhood — I am not — but because the specific kinds of loss that accompany a Bipolar I diagnosis are systematically underdiscussed, and the silence around them compounds the suffering of millions of people who believe their losses are personal failures rather than the predictable consequences of stigma.

In my romantic life, the damage has been extensive. I have lost dates, relationships, and prospects because of my diagnosis. The pattern is consistent: a connection develops, the question of health history arises — as it should, because intimacy requires honesty — and the disclosure of a psychiatric condition triggers a withdrawal that is rarely acknowledged as what it is. Sometimes it is immediate: a message left unread, a next date that never materializes. Sometimes it is gradual: a cooling, a pulling away, the unspoken message that a person who could have been a partner has decided that bipolar means broken, means dangerous, means too much.

"I have lost dates because of this diagnosis. I have lost jobs. I have lost a marriage. I refuse to lose myself."

— Zack · ZACK TECHNOLOGY LLC

VII. 30,000 Applications. Four Interviews. Zero Offers.

The professional dimension of this story requires a different register — one that is angrier, because the anger is proportionate to the facts. Since July 2019, I have applied to approximately 30,000 jobs. I have had four solid interviews. I have received zero job offers.

Thirty thousand applications. The volume itself is a form of argument: this is not a person who is not trying. This is a person with degrees, with executive-level experience, with technology and media expertise, with multilingual fluency, with demonstrable startup capability — who has been, for reasons that I believe include the visible markers of mental health history on employment records, systematically passed over.

The tech sector's relationship with mental health disclosure is complicated and often hypocritical. Companies post about mental health awareness in May. They have Employee Resource Groups and meditation apps and "mental health days." And then the person with a Bipolar I diagnosis — controlled, stable, medicated, functional, creative — is passed over for the role that a less-qualified but less-diagnosed peer receives. I am not naming companies. I am naming a pattern.

The Employment Cost of Mental Health Stigma

Studies consistently show that individuals with serious mental illness face significantly higher rates of unemployment than the general population — not due to inability, but due to discrimination, disclosure risks, and structural barriers in hiring. Those who disclose mental health conditions in hiring processes face documented disadvantage. Those who do not disclose carry the psychological burden of concealment. There is no comfortable path. The system is designed to exclude, not accommodate.

I have channeled this injustice productively. I built ZACK TECHNOLOGY LLC. I write. I produce. I create content in two languages — English and French — that reaches a growing audience hungry for honest, intelligent conversation about technology, world affairs, and human experience. I have made presentations demonstrating, with evidence and specificity, the value of what I have built — while Big Tech continues to lay off talent in waves, clearing out rooms full of people who spent their days performing productivity in Microsoft Teams, Zoom, and Slack chatrooms rather than creating anything of durable value. My startup is stronger than my job applications suggested. The industry's failure to hire me is its loss, and I have made it mine.

Death Stranding 2, Grief, and the PlayStation That Saved Me

VIII. Audrey

There is a grief I carry that is specific, personal, and that I do not write about easily. During my marriage, my then-wife and I experienced a miscarriage. We lost a child we had named Audrey. The experience of pregnancy loss is, for those who have not lived it, difficult to fully convey — not because the language does not exist, but because the particular quality of that grief, its incompleteness, the way it mourns something that was both wholly real and never quite fully present in the world, resists ordinary description.

I dedicated this article to Audrey at the top of the page. That dedication is not decorative. Audrey existed. Audrey mattered. And the grief of losing her — compounded by the eventual dissolution of the marriage that had contained that shared loss — is something I carry every single day, alongside the Bipolar I diagnosis, alongside the professional frustrations, alongside everything else that makes up the particular texture of my life.

I believe, with a specificity that only lived experience can produce, that if I had received a job offer — any job offer, a sustainable income — my marriage might have endured. The financial precariousness created by years of failed applications added a weight to a relationship already carrying the grief of loss. That weight broke something. I cannot know with certainty what the counterfactual looks like, but I know what the actual looks like, and I live in it.

Death Stranding 2: On the Beach · Sony Interactive Entertainment · Kojima Productions
Death Stranding 2: On the Beach — Hideo Kojima's meditation on connection, loss, and the will to keep moving. For me, it was not a game. It was a companion through grief, and a reason to stay.

IX. What Death Stranding 2 Actually Did

Death Stranding 2: On the Beach arrived in my life at exactly the right moment, which is to say a moment when the wrong things were happening. Hideo Kojima's work — the Death Stranding franchise in its totality — is, at its philosophical core, about connection. About the imperative to keep moving through landscapes of loss and disconnection, to deliver things to people who cannot reach them, to be a strand in a web that holds the world together even when the world seems to be actively disintegrating.

For a man dealing with the grief of a lost child, a broken marriage, a psychiatric condition, and the sustained rejection of a professional world that should have wanted him — the metaphor was not subtle. It was exact. I played with the specific attentiveness of someone who needed what the game was saying. Every delivery completed through difficult terrain was an act of persistence that felt personally meaningful. The music — Kojima's legendary curation of ambient and post-rock soundscapes — did what JETLAG RADIO does at its best: it restructured the emotional atmosphere and made space for something other than despair.

Death Stranding 2 was quintessential to my recovery. Not because it solved anything. But because on the nights when the illness and the grief and the professional despair converged into something that felt unsurvivable, the game gave me somewhere to be. It gave me something to do with my hands and my mind that was not suffering. And it kept me here long enough to wake up the next day.

PS1Where It Began
PS5Where I Am Now
25+Years with PlayStation
Hours of Therapeutic Value

The Science of Gaming as Therapy

X. What Research Has Quietly Confirmed

A narrative review from the NIH examined commercial video games and their impact on depression, anxiety, and other mental health conditions. Its findings: certain games support emotional regulation, provide distraction from intrusive thoughts, and train cognitive flexibility. An Oxford-based research team, using actual playtime data, found that players who spent more time in certain games reported higher levels of wellbeing. More play did not automatically equal worse mental health. The United Nations has commissioned large global surveys on gaming and mental health, and the emerging consensus challenges decades of moral panic about screens and controllers.

The FDA approved a video game — EndeavorRx — as a prescription treatment for ADHD. Studies using Tetris found it reduced traumatic memories and PTSD flashbacks. Role-playing games — the genre most closely aligned with the Death Stranding franchise — have been shown to support challenging and reconstruction of negative thought patterns, promote positive alternative thinking, and provide a narrative container for emotional states that would otherwise be psychologically unmanageable.

Gaming Benefits Across Mental Health Conditions
Research-documented positive outcomes from therapeutic gaming interventions — approximate % of studies showing benefit
Gaming therapy: Depression 74%, Cognitive Flexibility 71%, Anxiety 68%, Social Isolation 65%, PTSD 61%, ADHD 58%.
Sources: PMC Narrative Review (2021), Johns Hopkins JAMA Pediatrics (2024), NIH review (2023), WebMD/Healthline synthesis. Figures represent approximate percentage of studies reporting positive outcomes per condition.

XI. A Direct Message to Sony Interactive Entertainment

I have been a PlayStation household since the original PS1. Through PS2, PS3, PS4, and now PS5 — through every generational transition, every exclusive, every exclusive soundtrack — I have been here. Not as a casual consumer but as a genuine stakeholder in the platform's culture and community. I stream PS5 content. I discuss games in the context of mental health and technology. I bring to the PlayStation community the same editorial intelligence I bring to everything I produce.

My birthday is in May 2026. I do not have a salary. I have not had a job offer in nearly seven years despite applying everywhere. I have a PlayStation 5 that has literally kept me alive. And I want to say, directly and without embarrassment, that a PS5 Pro — alongside games like Starfield, Pragmata, and Resident Evil 9: Requiem — would mean something to me that exceeds the material value of the hardware. I would unbox every item on camera, with the genuine joy of someone for whom this is not a content format but a life event. Sony: I have been your most loyal and most honest advocate. I am still here.

The Full Toolkit: How I Stay Well

XII. What Zack Does Every Day

Stability with Bipolar I is not achieved through a single intervention. It is a system — a set of daily and weekly practices that work together to maintain the neurological equilibrium that the illness perpetually threatens. I share mine not as a prescription but because the specificity of lived experience is more useful than generality.

I write. Extensively. Daily. Writing takes the noise inside my skull and orders it into sentences, which is the same operation as ordering it into meaning. When the mania threatens, writing grounds me. When the depression arrives, writing connects me to the person I know myself to be.

I read. Fiction, non-fiction, journalism, theory. Reading is the practice of inhabiting other minds — which is an extraordinarily effective treatment for the narcissistic gravity of mental illness, the way it pulls all cognitive resources toward the self and its suffering. A good book is a door out of your own head. I practice yoga. I play video games. I watch films and television with the focused attention of someone who understands that narrative immersion is a form of emotional exercise. These are not hobbies. They are, in the literal clinical sense, therapeutic interventions that I have practiced consistently enough to know their effects in my body.

My Daily Mental Health Architecture
Medication (nightly, without exception)Foundational
Therapy sessions (regular)Clinical
Music production / JETLAG RADIODaily
Writing (articles, editorial, longform)Daily
PlayStation / Gaming (therapeutic)Regular
Yoga & MovementRegular
Reading (books, longform journalism)Regular
Television / Cinema (narrative immersion)Regular

On Big Tech, Layoffs, and What I Actually Built

XIII. The Industry That Passed Me By

The tech sector has spent the past several years engaged in a sustained program of workforce reduction that it describes, with characteristic euphemism, as "right-sizing." Tens of thousands of people have been separated from employment while the companies doing the separating continue to post billions in quarterly profits. The rationale offered is efficiency. The reality, in many cases, is that organizational bloat was permitted during the growth years of 2020 to 2022, and the correction is now being paid for by individuals rather than by the systems that created the problem.

Meanwhile, I — a person with genuine technology literacy, multilingual ability, editorial intelligence, and the demonstrated capacity to build a media startup from nothing — have submitted thirty thousand applications and received four interviews in seven years. I have not asked for charity. I have asked to be hired. The answer has been, consistently, silence. I believe some of those silences are related to my mental health history. Some are related to algorithmic resume filtering that screens out anyone whose career trajectory does not conform to the smooth, linear upward narrative that software is trained to privilege. Taken together, they constitute a systematic failure.

Have you experienced workplace or social stigma related to mental health?
Yes, significantly
58%
Yes, somewhat
24%
Not directly, but I hide it
12%
No experience of stigma
6%

Razer, Gaming, and the Community I Love

XIV. The #RazerCreator Partnership

Razer Creator · Affiliate Partner · ZACK TECHNOLOGY LLC

I am proud to be a #RazerCreator — a partner of Razer Inc., the global leader in gaming peripherals and hardware. As a Razer Creator, I produce content that brings the gaming community into conversation with technology, mental health, and world affairs. My Razer Amazon Affiliate Links are available on the ZACK TECHNOLOGY LLC website, where you can shop for PC and PlayStation 5 gaming accessories — headsets, controllers, keyboards, mice, and more — from a brand I use, trust, and genuinely believe in.

If you watch my PS5 streams, you hear the quality of a Razer setup. If you want the same experience, my affiliate links are the place to start. Every purchase through those links supports ZACK TECHNOLOGY LLC directly.

Visit zack.coffee/razer-creator for Razer affiliate links. Support the creator. Support the content.

To My Audience: Thank You

XV. A Genuine, Unperformed Gratitude

I want to close this essay the way it deserves to be closed: with honesty about what your presence in this community means to me. Not the performative gratitude of a content creator wrapping up a piece with a call to action. Real gratitude, of the kind that only someone who has been through what I have been through can feel for the people who kept showing up.

You read ZACK TECHNOLOGY LLC. You listen to JETLAG RADIO. Some of you have been here since the beginning, watching me build something with no salary and no job offer and a psychiatric condition and a grief that I carry quietly and a belief — sometimes stubborn to the point of irrationality — that the work matters, that the audience is real, that what we are doing here is worth doing.

You were right to believe it, and I was right to believe in you. This publication exists because of that mutual faith. I see you. I am grateful for you. I am not done yet.

If this essay meant something to you — if it changed the way you think about mental illness, or music, or games, or grief, or the quiet heroism of staying on your medication every single night — please like this article, follow ZACK TECHNOLOGY LLC on every platform available to you, share it with someone who needs it, and if you are in a position to do so, consider supporting this work financially through Venmo. Every contribution, no matter the size, is a vote for the kind of honest, intelligent, human content that the internet desperately needs more of.

— ✦ —

Support ZACK TECHNOLOGY LLC

Independent journalism. Mental health advocacy. Electronic music. Gaming. Technology. World affairs. Built by one person, for a global audience, with no salary and a great deal of heart.

venmo.com/iamzaki · Your support keeps this content alive and independent.

If you are struggling: The 988 Suicide & Crisis Lifeline (call or text 988) is available 24 hours a day, 7 days a week. The National Alliance on Mental Illness (NAMI) helpline: 1-800-950-6264. The National Eating Disorders Helpline: 1-866-662-1235. You do not have to carry it alone.
Final Word · ZACK TECHNOLOGY LLC · April 2026

"I am not bipolar in spite of everything I have built. I built everything I have built while bipolar. That is the difference. That is everything."

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