Dear Patrick:

When is the best time to confront someone in the firm about their addiction? If a colleague has a problem, but nothing has really gone wrong for them, their clients or the firm, what is the likelihood of convincing this person or my other partners that the person needs help?

A Concerned Partner

Dear Concerned Partner:

If someone in your firm is struggling with an addiction, the best time to address it was probably a while ago. The second-best time is now. True, the lack of (visible) consequences to the individual or the firm might make it harder to convince the person that he or she needs to make a change, but don't let that hold you back. If the person's substance use is problematic enough to have reared its head to co-workers, there is a strong likelihood that a host of things have either already gone or are currently going wrong in that individual's personal life. Work is typically the last place where a lawyer's addiction becomes apparent.

An important note of caution, however: It would be a mistake to blindly assume nothing has gone wrong for the firm or its clients, simply because the firm or the clients are currently unaware of any such problem. When a colleague is struggling with an addiction, the more reasonable assumption would be that at least some (perhaps minor, but perhaps major) things have in fact gone wrong, but that they have so far gone undetected. Experience has taught me that when you peel back the onion on a lawyer's addiction, very rarely do you find a truly unblemished record of good client service. It's the nature of the beast.

Moving beyond the consequences that may or may not already exist, however, there are three primary reasons why addressing a substance use problem sooner (also known as an early intervention ) rather than later is always the best path.

First, addiction tends to be a progressive condition, and the longer it progresses, the harder it is to arrest. Let's not forget that addiction is a disease. While some may quibble with or dismiss that characterization outright, the medical community has long recognized addiction as a primary, chronic and progressive brain disease. Most relevant to this discussion, addiction has a known course, like other diseases, and that course is forward. Just as the prognosis for treating cancer is better in stage one as opposed to stage four, the prognosis for successfully treating addiction is better when the disease is confronted in earlier stages. The longer the disease is allowed to hijack the individual's brain, the more engrained the dysfunction becomes.