03/14/2026
The people most at risk are often the most accomplished.
You meet your deadlines.
You lead teams.
You perform under pressure.
Nothing is falling apart.
But sleep is lighter.
Mornings are slower.
Stress feels less contained.
Alcohol does not have to cause collapse to alter performance.
High achievers rarely lose control.
They adapt — until adaptation becomes a limitation.
The real question is not, “Is this a problem?”
It is, “Am I operating at full precision?”
In‑depth executive and consultation psychiatry for complex, high‑functioning adults.
www.veneramillermd-cipm.com
📞 410‑535‑6520
Washington, DC | Maryland | Virginia
