It’s common to feel uncomfortable about asking your employer for time off to attend rehab. Many people struggle to bring the subject up with their workplace. But if this prevents you from getting treatment you need, it could harm your health and job security.
One trap people often fall into is imagining worst-case scenarios. This stops many from requesting time off for treatment. It helps to remember that catastrophizing doesn’t paint an accurate picture of reality. If you need time off to focus on your mental health, most employers will understand.
With the right approach and information, you can focus on what matters most—your well-being—while also protecting your livelihood.
Disclaimer: This article is for general informational purposes only and should not be construed as legal advice, nor should it be substituted for legal counsel on any subject matter. Workplaces vary in how they handle these situations. If you’re unclear on how to move forward, speaking with a Human Resources professional or attorney may be a good next step.
Understanding your legal rights is the first step in protecting your job while seeking treatment. For many U.S. employees, 2 main federal laws may provide important protections.
The Family and Medical Leave Act (FMLA)1 allows eligible employees to take up to 12 weeks of unpaid leave for inpatient addiction treatment. During this time, your health benefits continue, and your employer must hold your job or an equivalent position.
The Americans with Disabilities Act (ADA)2 requires employers to make reasonable accommodations for employees with substance use disorders in many cases. These might include modified schedules for outpatient programs or protection from discrimination.
These protections typically apply only to those seeking treatment, not those currently using substances. Not all workplaces are covered by these laws, and employer ethics vary widely—some offer supportive programs while others create challenging environments for returning employees.
If you’re still on the fence about seeking treatment, keep these points in mind:
Many companies also offer Employee Assistance Programs (EAPs) that provide confidential counseling, treatment referrals, and sometimes even cover part of your treatment costs—all while adding another layer of workplace protection.
Think of the Family and Medical Leave Act (FMLA) as a safety net. It helps you balance your job and health needs by giving you time off for important medical reasons—including addiction treatment.
This law has been around since 1993 and has helped millions of people get treatment without losing their jobs.
FMLA can protect your job while you get help for addiction. It can also protect family members who need time off to care for someone in treatment.
Per the U.S. Department of Labor, f you’re dealing with drug addiction (which counts as a serious health condition under this law), you can take up to 12 weeks of unpaid time off4 in a one-year period. When you come back, your job (or one just like it) should be waiting for you.
But there’s an important catch: FMLA only covers time off for actual treatment. It doesn’t protect you if you miss work because you’re using substances. The law protects people getting help, not people who are still in active drug use.
Before you count on FMLA protection, talk to someone in HR about your company’s policies. Some workplaces have their own rules about drug and alcohol rehab that might affect your FMLA coverage.
Not everyone can use this program. Qualifying means you need to meet these 4 FMLA criteria:5
FMLA covers these types of employers:4
Your workplace should tell you if they’re covered by FMLA. Look in your employee handbook or new-hire paperwork to find this information. When in doubt, ask HR.
Following the proper FMLA process helps protect your rights. While each employer has their own workplace policy, the process generally looks like this:
Most employers want to know how long you’ll be in treatment. The admissions staff at your treatment center can help you determine your length of stay, which might include detox (typically 5-7 days) followed by residential or outpatient treatment.
Your employer might require a fitness-for-duty certification6 confirming you’re able to return to work after FMLA leave. They should tell you this, and provide a list of essential job duties, before you leave.
For planned treatment, give your employer at least 30 days’ notice.
If this is your first time using FMLA leave, you don’t need to specifically mention “FMLA” as long as you provide enough information about your need for medical leave.
Your employer must tell you the status of your FMLA leave within 5 business days.
These privacy protections7 are also important to know:
Timing matters when requesting FMLA leave:8
Remember that addiction treatment timelines sometimes change based on your progress. If your treatment extends beyond your original estimate, let your employer know as soon as possible.
The Americans with Disabilities Act prohibits discrimination against people with disabilities in all areas of public life, including employment.
Alcoholism and addiction that meet certain medical conditions are considered disabilities under ADA.9
If you qualify for ADA protection, your employer must make reasonable accommodations10 as you seek addiction treatment. This includes accommodating a schedule that allows you to attend treatment.
Once you request time off to attend a rehabilitation program, your employer must keep this information completely confidential. You’re also protected from discrimination in future hiring processes.
Your state may provide additional protection against being fired for attending addiction treatment. Check with your HR department about state-specific protections.
Just like with FMLA, ADA doesn’t protect you if you’re currently using substances.
It’s best to talk to your employer about your need for treatment as soon as possible. While this may seem scary, remember that seeking treatment is far less likely to hurt your career than the negative impact untreated substance use can have on your job performance.
You might imagine worst-case scenarios about talking to your boss, but don’t let fear stop you from getting help. Many employers are understanding, especially when you’re actively seeking help.
Public attitudes about addiction treatment have improved significantly. According to research comparing data from 1990–2003, stigma around mental health treatment has decreased, while public support for seeking treatment has increased.11
Before talking with your employer, prepare the necessary information:
When approaching your employer, be direct and professional. You can share details about your addiction if you’re comfortable doing so, but it’s not required. Focus on your commitment to treatment and returning as a healthy, productive employee.
Schedule a private meeting in a confidential setting. If you’re uncomfortable talking with your direct supervisor, consider going to HR instead.
Get all agreements in writing. After discussing your leave, follow up with an email summarizing what was discussed. Ask HR to confirm your job-protected leave dates and return expectations in writing, too.
Complete required paperwork promptly. Submit any FMLA forms or medical certification on time to ensure your leave is properly protected.
Set clear boundaries about contact during treatment. Many treatment programs restrict phone and email access, especially early in treatment. Regardless of your rehab program’s policy on devices, it’s essential to protect your healing process.
Before leaving for treatment, tie up loose ends at work:
Remember that your employer should keep your medical information confidential. Only those who need to know about your sick leave should be informed.
Taking steps to protect your job while seeking treatment helps safeguard both your health and your career.
Ready to start your recovery journey? Search for a rehab center that fits your needs and speak to an admissions advisor directly today.
A: Yes, FMLA can be used for addiction treatment if you meet eligibility requirements. FMLA does not cover absences due to substance use itself.
A: Under FMLA, eligible employees can take up to 12 weeks of unpaid leave in a 12-month period for serious health conditions, including mental health issues that require continuing treatment.
A: This is a personal decision. You’re not required to disclose your recovery status. Consider your workplace culture and your relationship with your supervisor before sharing this information.
Q: Is drug rehab covered by FMLA?
A: Yes, substance abuse treatment can qualify for FMLA leave if you’re receiving care from a healthcare provider. The treatment must be provided by a healthcare professional.
A: The ADA may protect employees with substance use disorders who are not currently using illegal drugs. It prohibits discrimination and requires reasonable accommodations for treatment.
A: Schedule a private meeting with your supervisor or HR, clearly state your need for medical leave, provide necessary documentation, and follow your company’s leave request procedures.
A: Know your rights under FMLA and ADA, follow your company’s procedures for requesting leave, provide required documentation, and get all agreements in writing.
“Family and Medical Leave Act.” DOL, https://www.dol.gov/agencies/whd/fmla.
“The Americans with Disabilities Act.” ADA.Gov, https://www.ada.gov/
Adams JM. The Value of Worker Well-Being. Public Health Rep. 2019 Nov/Dec;134(6):583-586. doi: 10.1177/0033354919878434. Epub 2019 Oct 10. PMID: 31600480; PMCID: PMC6832080.
“Fact Sheet #28O: Mental Health Conditions and the FMLA.” DOL, https://www.dol.gov/agencies/whd/fact-sheets/28o-mental-health
The Family and Medical Leave Act (FMLA) | USAGov. https://www.usa.gov/family-leave-act
Elaws - Family and Medical Leave Act Advisor. https://webapps.dol.gov/elaws/whd/fmla/12a6.aspx
“Employers and Health Information in the Workplace.” U.S. Department of Health and Human Services. https://www.hhs.gov/hipaa/for-individuals/employers-health-information-workplace/index.html
“Fact Sheet #28E: Employee Notice Requirements under the Family and Medical Leave Act.” DOL, https://www.dol.gov/agencies/whd/fact-sheets/28e-fmla-employee-notice
“Sharing the Dream: Is the ADA Accommodating All?” Chapter 4, Substance Abuse under the ADA. U.S. Commission on Civil Rights. https://www.usccr.gov/files/pubs/ada/ch4.htm
“Enforcement Guidance on Reasonable Accommodation and Undue Hardship under the ADA.” US EEOC, 17 Oct. 2002, https://www.eeoc.gov/laws/guidance/enforcement-guidance-reasonable-accommodation-and-undue-hardship-under-ada
Mojtabai, Ramin. “Americans’ Attitudes Toward Mental Health Treatment Seeking: 1990–2003.” Psychiatric Services, vol. 58, no. 5, May 2007, pp. 642–51. DOI.org (Crossref), https://doi.org/10.1176/ps.2007.58.5.642.
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