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How do you know if your coworker could possibly be on drugs

lately she is very confused about simple tasks that she’s been doing for over two years. She is showing an awful lot of confusion in conversations, and just not following along with directions. This is definitely something new that’s come on in the past couple of I months.

I’m asking you guys because I have never met anyone who does drugs so I don’t really know what to look for
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It could be a new medication or health issue. I was that way the first few weeks of starting Prozac.