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