Guardrails & Grace

Show Notes:In this episode, Gen and Hamish have an honest, thoughtful conversation about what it looks like when substance dependency intersects with work. Gen shares her experience of approaching her employer about alcohol addiction, and Hamish reflects on what it was like to receive that disclosure as a manager. They discuss the emotional weight of disclosure, the fear and shame that often surround addiction, and why transparency can sometimes become a turning point. The conversation also explores how employers can respond with care while still protecting workplace safety, and how shared decision-making can create a more workable path forward.Gen outlines a practical four-step framework that she would have liked to have available for approaching an employer when dealing with addiction or recovery. Hamish adds the employer perspective, including the importance of open communication, external verification where appropriate, and maintaining clear boundaries that support both the employee and the workplace. Together, they discuss how recovery is rarely perfect, why relapse should be planned for rather than hidden, and how empathy can coexist with accountability. They also touch on APHRA, mandatory reporting, and the difficult balance between privacy, safety, and professional responsibility. Throughout the episode, both speakers emphasize that addiction is not a moral failing, and that support, structure, and compassion can make a meaningful difference.Related articles: * How do I approach my employer? * Developing a Relapse Prevention Plan Resources: * Services for doctors struggling with mental health and addiction Credits * Sound Editing by Hugh M Hamilton* I would not have been able to do the work behind getting this podcast up and running without the educational content from Hiwote Getneh at Emerging Voices This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit caduceusunwound.substack.com