Alcoholism/Drug Addiction is always first to be treated in the presence of other personal problems. Often the problems are directly caused by the primary health care problem--addiction. DOT supervisors normally will become aware of a variety of personal problems long before obvious alcohol or drug problems are observed. These are often symptoms of the alcohol or drug problem, but are mistakenly believed to be causes rather than symptoms. This can keep supervisors baffled and postponing a drug or alcohol test. Indeed problems may contribute to this disease but other problems do not cause alcoholism and drug addiction.