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Warning Signs

Virginia HPMP is Here to Help. 

 

Call 1-866-206-4747 or email vahpmp@vcuhealth.org to get started.

 

Pill Bottle

Symptoms of Substance Abuse/Chemical Dependency

  • Smell of alcohol on breath or in perspiration
  • Red-faced and/or prominent capillaries over cheeks and nose
  • Bloodshot and/or glassy eyes, excessive use of eye drops to conceal it, wears sunglasses indoors
  • Constricted or dilated pupils
  • Sweating when otherwise comfortable
  • Self-medicating, has medical problems and does not seek help, but rather treats self
  • Memory lapses, can’t account for whereabouts
  • Slow, slurred, or pressured speech
  • Avoids close contact or interaction with others, avoids eye contact
  • Lying
  • Erratic behavior patterns, mood swings, inappropriate affect (laughing when others are crying)
  • Tremors, hands shake
  • Does not answer when on call or does not return pages
  • Misses work frequently or is late frequently
  • Defensive and/or minimizing regarding alcohol and/or drug consumption, denial
  • Persistent financial, marital, or familial problems
  • History of alcohol or substance abuse in family
  • Excessive use of fragrance and/or breath spray to conceal substance use
  • Possession of alcohol or drugs at work (in desk, purse, locker)
  • Alcohol in car or empty alcohol containers in car on a regular basis
  • Known to frequent bars/clubs on a regular basis
  • Frequently associates with known alcohol or substance users/abusers
  • Low or elevated self-esteem
  • Poor impulse control, hasty, impatient
  • Easily agitated, irritable 

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Psychiatric Conditions

  • Self-medicating, has medical problems and does not seek help, but rather treats self
  • Erratic behavior patterns, mood swings, inappropriate affect (laughing when other are crying)
  • Low or elevated self-esteem
  • Poor impulse control, hasty, impatient
  • Easily agitated, irritable
  • Psychosomatic, hypochondriasis
  • Paranoia
  • Insomnia, hypersomnia
  • Anxious
  • Depressed, flat affect
  • Manic affect
  • Distorted thinking, delusional, hallucinations, disconnected thoughts
  • Isolative, withdrawn
  • Denial, minimizes having problems
  • Suicidal ideation or previous attempt
  • Pattern of extreme risk-taking behavior
  • Misses work frequently or is late frequently
  • Reputation of bizarre or otherwise extreme behavior
  • Passive-aggressive and/or manipulative behavior

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Disruptive Behavior

  • Abrasive interpersonal style of interaction
  • Passive-aggresiveand/or manipulative behavior
  • Appearance of never being happy or satisfied
  • Apathetic, pessimistic, believes things will never improve
  • Bizarre, unusual behavior
  • Often grandiose, elevated self-esteem
  • Is threatening, verbally abusive
  • Often overreacts
  • Very low tolerance for others, while expecting others to have great tolerance for him/her
  • Often acts with disregard for rules and consequences, feels entitled to do so
  • Often complains and is often complained about to authorities for rude or otherwise unacceptable behavior
  • Denies wrongdoing and refuses to make changes in behavior

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Physical Limitations

  • Appears unable to see when others have no difficulty
  • Weak or restricted grip (handshake)
  • Tremors, hands shake, deterioration of fine motor skills
  • Unsteady gait
  • Frequent loss of balance, diminished equilibrium
  • Cannot raise arms above head, bend and touch toes, etc.
  • Muscle, bone, nerve, or tendon damage

Health Practitioners' Monitoring Program

Christina C. Buisset, HPMP Program Manager

hpmp@dhp.virginia.gov