My blog topics sometimes originate from media outlets discussing issues that impact my professional clients. NPR published an article this week discussing a new National Institute of Health ("NIH") alcohol use disorder online self- help tool. The attached link presents a significant web presence on alcohol consumption, alcohol use disorders, and other NIH discussion pieces on a national alcohol abuse epidemic. NPR, NIH Alcohol Use Disorder Article
The website reveals a national problem with alcohol consumption and provides a means for self diagnosis of one's alcohol use disorder ("AUD") through a DSM questionnaire. In prior blogs I discuss the Diagnostic and Statistical Manual of Mental Disorders (“DSM") as the tool mental health professionals utilize to diagnose mental health conditions. An Alcohol Use Disorder is one such identified mental health disease. The DSM-V, the latest and current version, identifies any person meeting two of the following 11 criteria during a 12 month period as suffering from an alcohol use disorder.
- Had times when you ended up drinking more, or longer than you intended?
- More than once wanted to cut down or stop drinking, or tried to, but couldn’t?
- Spent a lot of time drinking? Or being sick or getting over the aftereffects?
- Experienced craving — a strong need, or urge, to drink?
- Found that drinking — or being sick from drinking — often interfered with taking care of your home or family? Or caused job troubles? Or school problems?
- Continued to drink even though it was causing trouble with your family or friends?
- Given up or cut back on activities that were important or interesting to you, or gave you pleasure, in order to drink?
- More than once gotten into situations while or after drinking that increased your chances of getting hurt (such as driving, swimming, using machinery, walking in a dangerous area, or having unsafe sex)?
- Continued to drink even though it was making you feel depressed or anxious or adding to another health problem? Or after having had a memory blackout?
- Had to drink much more than you once did to get the effect you want? Or found that your usual number of drinks had much less effect than before?
- Found that when the effects of alcohol were wearing off, you had withdrawal symptoms, such as trouble sleeping, shakiness, irritability, anxiety, depression, restlessness, nausea, or sweating? Or sensed things that were not there?
As an attorney representing medical or other licensed professionals possibly suffering from AUD, or other DSM-V criteria disorders, you’re wondering why I’m writing this blog. The NIH web page, marketing campaign, and DSM assessment tool are very helpful for life correcting and treatment of a medical condition.
However, licensed professionals should not seek treatment as a result of a self-help assessment in an on-line article, not conducted by a professional. Such an endeavor could create significant potential professional license exposure. Obviously your health is a paramount concern. Seek help if you need it. But before doing so, understand there could be significant legal and professional ramifications.
Licensed professionals who self diagnose themselves and then seek drug and alcohol treatment through any number or type of treatment facilities opens a Pandora’s box of medical records and mental health disclosure issues and potential employment and license reporting responsibilities. The wrong treatment facility could seek employment related information. Thereafter, under various state and federal regulations, these drug or alcohol treatment facilities (whom the licensee sought for help and stress reduction) become mandatory reporters to state professional licensing boards - causing huge stress. This creates the scenario where someone seeks inpatient treatment and the treatment provider reports a person's drug or alcohol use to their professional licensing board. This exposes the professional licensee to a disciplinary process.
Self disclosure to any drug or alcohol treatment facility becomes a medical record subject to mandatory disclosure to a licensing board if a petition for a Mental and Physical Evaluation is ordered. By this I mean, once a treating facility reports a licensed professional as suffering from a drug or alcohol use disorder (without any type of criminal or workplace related event), the licensee's words become the basis for disciplinary action. Petitions to Compel Mental and Physical Evaluations require disclosure of the medical records from the self-help treatment facility. The licensee's words become the proverbial nail in the coffin of any disciplinary action.
Before you proceed through an NIH or other self-help drug and alcohol use disorder assessment and then contact an inpatient treatment provider (which really just wants your money) please call to discuss the legal ramifications of your need for medical care. While your health and welfare paramount, take into consideration the broader range of factors, including the status of your ability to work, maintain gainful employment, and practice your profession. If your life is already full or stress (from family, marriage, work, finances, and life), causing professional downfall, legal fees, or disciplinary action will just add to the current stress level. Eliminating additional stress is a huge factor in maintaining sobriety, maintaining confidence, and psychological stability.