Achievement and Addiction examines in depth the psychodynamic, social, and biological factors that interact to culminate in the "impaired professional," and provides a practical guide to the sensitive and effective treatment of doctors, nurses, pharmacists, lawyers, business executives, and high achievers from all professions. It also discusses the etiologic factors at the root of the addiction, as well as the neurochemical mechanisms of the major drugs of abuse. This book describes the process of intervention, diagnosis, and evaluation, as well as guidelines for matching the patient to the level of treatment. Of particular interest are several candid and detailed case histories written by members of the various professions that enrich and enliven the text. Specific therapeutic approaches applicable to professional populations are also covered, including the use of psychotherapy, medication, monitoring, support groups, and, of particular value, 12-step programs.