Employers Cannot Fix What Workers Fear To Share episode artwork

EPISODE · Apr 27, 2026 · 30 MIN

Employers Cannot Fix What Workers Fear To Share

from AXSChat Podcast · host Antonio Santos, Debra Ruh, Neil Milliken

“We have no employees using drugs or alcohol.” Georges Petitjean has heard versions of that line for years, even while treating people who are quietly disappearing into detox, struggling in silence, or terrified their employer will find out. The problem isn’t that workplace addiction is rare. The problem is that stigma makes it easy to deny, hard to disclose, and expensive to ignore.We’re joined by Georges, an NHS clinical director in drugs and alcohol treatment services, to talk about WARM At Work, the Workplace Addiction and Recovery Movement. We dig into what substance use disorder really means using a simple spectrum model, why addiction is a treatable chronic health condition, and why workplaces still react so differently to “I need diabetes care” versus “I need addiction treatment.” Along the way, we explore the social and cultural forces that shape use, from workplace drinking culture to high pressure environments, and why banning one substance doesn’t solve the underlying drivers.We also zoom out to policy and prevention, including what people often miss about Portugal’s decriminalisation approach, the links between disability, chronic pain, and opioid risk, and emerging trends like ketamine harm among young people. Most importantly, we focus on practical workplace actions: building psychological safety, educating the wider workforce, supporting affected colleagues and families, and creating clear pathways to treatment and peer support such as AA, NA, and SMART Recovery. To learn more about WARM At Work, visit www.warmatwork.org or connect with Georges on LinkedIn.Subscribe, share this conversation with a manager or HR leader, and leave a review so more people can find it and feel safe asking for help.Send us Fan MailSupport the showFollow axschat on social media.Bluesky:Antonio https://bsky.app/profile/akwyz.comDebra https://bsky.app/profile/debraruh.bsky.socialNeil https://bsky.app/profile/neilmilliken.bsky.socialaxschat https://bsky.app/profile/axschat.bsky.socialLinkedInhttps://www.linkedin.com/in/antoniovieirasantos/ https://www.linkedin.com/company/axschat/https://www.linkedin.com/in/neilmilliken/Vimeohttps://vimeo.com/akwyzhttps://twitter.com/axschathttps://twitter.com/AkwyZhttps://twitter.com/neilmillikenhttps://twitter.com/debraruh

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“We have no employees using drugs or alcohol.” Georges Petitjean has heard versions of that line for years, even while treating people who are quietly disappearing into detox, struggling in silence, or terrified their employer will find out. The problem isn’t that workplace addiction is rare. The problem is that stigma makes it easy to deny, hard to disclose, and expensive to ignore. We’re joined by Georges, an NHS clinical director in drugs and alcohol treatment services, to talk about WARM...

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Employers Cannot Fix What Workers Fear To Share

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