Behavior Warning Signs
The following behaviors can serve as warnings if they are recognized and understood.

"Just not the same person we used to know…"
Loss of enthusiasm; Negative attitude
Cynical, fault finding remarks; sarcastic, complaining, antagonistic
Involvement in internecine battles
Feeling like a tragic, overworked, misunderstood hero
Isolation, mistrust, abandonment of old friends
Increasingly forgetful
Self-diagnosed health complaints, morbid health concerns
Depressed, anxious
Looks tired; admits to insomnia
Eyes don’t look right
Personal hygiene changes; looks seedy
May smell of stale alcohol or strong cologne
Tremulous or sweaty
At times, agitated or restless
At times, looks drowsy or doped up
Changes in speech (slurring, careful cadence, stammering or blocking, “tranquilizer lilt”)
Changes in appetite or exercise pattern; recent weight change
"We can’t trust his work anymore…"
Changes in work habits
Erratic productivity combined with crazy hours
Changes in handwriting
Changes in number of consults
Procedural errors
Errors of omission with alibis, cover-ups
Missed appointments, meetings, dropping of committees
Complaints from staff, patients, families