Treating the chemically dependent health professional

Chemical dependence among health professionals is a significant problem, with a lifetime prevalence of approximately 10-15%. A physician who undertakes the challenge of treating other physicians for chemical dependence must have firm boundaries, and must be willing to provide extra time and patience. Denial of symptoms, countertransference and other pitfalls have been cited as prominent potential problems. Although there is evidence that physicians in general have excellent outcomes following chemical dependence treatment, mismanagement can be disastrous. Standards are suggested for centers that wish to treat this population.