Sign and symptoms of impairment often include but are not limited to the following:

Family Life

• Marital problems indicated by separation/divorce, infidelity
• Physical abuse of spouse or children
• Financial problems
• Increased absence at family activities
• Increased behavioral problems with children
• Sexual problems indicated by impotence and/or the onset of fetishes or otherwise odd behavior

Social Life

• Isolating from friends
• Obvious intoxication at inappropriate times which includes erratic behavior
• Legal problems such as DUI’s, possession

Physical and Mental Changes

• Pronounced changes in eating habits
• Marked change in mood including mania, irritability, depression or flat affect.
• Decline in attention to hygiene and/or appearance.
• Frequently appearing tired and disheveled
• Inexplicable injuries and accidents
• Frequent incidence of illnesses
• Dilation or pinpoint pupils

Professional Life

• Frequent absences
• Frequent trips to the bathroom
• Unreliability in returning calls and pages
• Decline in quality of work
• Marked change in interaction with colleagues and/or staff members