Treating Substance Abuse in Older Adults at Wellbridge

Treatment and Support to Help You Thrive

Jump to Section

    What Causes Substance Use Disorders in Older Adults?

    Substance abuse in older adults can stem from a variety of factors, including physiological, psychological, and social influences.[2] Age-related changes in the body’s metabolism and tolerance can amplify the effects of alcohol and drugs, even with lower consumption levels. Additionally, older adults may turn to substances as a coping mechanism to alleviate the stressors associated with aging, such as new or recurring medical conditions, chronic pain, loneliness, grief, or retirement transitions. Co-occurring mental health conditions, such as depression, anxiety, or cognitive impairment, can also contribute to substance abuse as individuals seek relief from their symptoms.[3]

    Moreover, life transitions such as retirement, loss of loved ones, or changes in social support networks can disrupt your sense of purpose and identity, causing some to seek solace in substance use.[4] Social factors such as isolation, limited access to community resources, and stigma surrounding mental health and addiction can further exacerbate the problem.

    Past trauma, adverse childhood experiences, or unresolved issues from earlier life stages may resurface in later years as well, driving people towards unhealthy coping mechanisms like substance abuse.[5]

    Is our Older Adult program beneficial for you or a loved one? Reach out now.

    How Can Elderly Substance Abuse Be Dangerous?

    Elderly substance abuse poses significant dangers to physical and mental health.[6] Older adults are more vulnerable to the adverse effects of drugs and alcohol due to changes in metabolism and increased susceptibility to prescription drug interactions. This can lead to accidents, falls, overdose, and worsened medical health problems.

    Substance abuse can also exacerbate or cause mental health disorders, interfere with medical treatment, strain relationships, and decrease overall well-being. Early detection and tailored interventions are crucial for safeguarding the health and quality of life of older adults facing substance use disorder.

    What Are the Symptoms of Substance Abuse in Older Adults?

    The symptoms of substance use disorders in older adults can vary depending on factors such as the type of substance being abused, underlying health conditions, and individual differences. However, some common signs and symptoms to watch for include:[7]

    • Changes in mood or behavior, such as increased irritability, anxiety, or depression.
    • Physical signs like unexplained bruises, weight loss, or changes in sleep patterns.
    • Neglect of personal hygiene or appearance.
    • Social withdrawal or isolation from friends, family, or previously enjoyed activities.
    • Memory loss or confusion may indicate substance-induced cognitive impairment.
    • Increased frequency of accidents or falls.
    • Changes in appetite or eating habits.
    • Secretive behavior regarding substance use or increased use of medications.
    • Decline in cognitive function or judgment.
    • Financial difficulties or unexplained expenses.

    It’s essential to pay attention to these signs and seek professional help if you suspect that an older adult is struggling with a substance use disorder. Early intervention can prevent further harm and improve the chances of successful treatment and recovery.

    What Are the Benefits of Addiction and Dual Diagnosis Treatment for the Elderly?

    Substance use, dual diagnosis, and alcohol use disorder treatment for the elderly offer numerous benefits that can significantly enhance your quality of life and overall well-being:[8]

    • Improved physical health: Treatment programs address substance use-related medical issues and promote healthier lifestyle choices, leading to better physical health outcomes and reduced risk of medical complications.
    • Enhanced mental health: Integrated treatment approaches address both substance use disorder and co-occurring mental health problems, leading to improved mood, reduced anxiety, and better overall psychological well-being.
    • Increased social support: Group therapy and peer support networks provide older adults with a sense of belonging and connection, reducing social isolation and fostering supportive relationships with others who understand their experiences.
    • Better medication management: Treatment programs help older adults manage their medications effectively, reducing the risk of adverse drug interactions and ensuring optimal treatment outcomes for both substance use disorders and underlying health conditions.
    • Enhanced cognitive functioning: Interventions targeting cognitive impairment associated with substance use or aging can help older adults maintain or improve cognitive function, preserving their independence and quality of life.
    • Improved family dynamics: Family therapy and education programs involve loved ones in the recovery process, fostering healthier communication patterns, rebuilding trust, and strengthening familial relationships.
    • Enhanced coping skills: Treatment equips older people with effective coping strategies and relapse prevention techniques to manage stress, triggers, and cravings, empowering them to maintain long-term sobriety and resilience.
    • Better quality of life: By addressing substance use disorder and underlying issues comprehensively, addiction and dual diagnosis treatment programs enable older patients to regain control over their lives, rediscover purpose and meaning, and enjoy a higher quality of life in their later years.

     

    Frequently Asked Questions About Substance Use in Older Adults

    Can substance abuse exacerbate existing health conditions in older adults?

    Yes, substance abuse can worsen existing health conditions in older adults. Chronic alcohol use, for example, can lead to liver disease, cardiovascular problems, and neurological damage. Similarly, drug abuse can exacerbate conditions such as hypertension, diabetes, and respiratory issues, increasing the risk of medical complications and reducing overall well-being.

    How does aging affect the body's response to drugs and alcohol?

    Aging can alter the body’s response to drugs and alcohol due to changes in metabolism, liver and kidney function, and body composition. Older adults may experience increased sensitivity to substances, leading to a heightened risk of adverse effects and drug interactions, even with lower doses. Additionally, aging can impair the body’s ability to metabolize and eliminate substances efficiently, prolonging their effects and increasing the risk of toxicity.

    Are there specific substances that older adults are more likely to abuse?

    While older adults may abuse a variety of substances, alcohol and prescription medications are among the most common. Alcohol abuse is prevalent among older adults due to factors such as social isolation, retirement, and the availability of alcohol. Prescription medications, particularly opioids, benzodiazepines, and sedatives, are also frequently misused, often unintentionally, due to age group and changes in metabolism and medication management.

    How does substance abuse impact cognitive function in older adults?

    Substance abuse can impair cognitive function in older adults, leading to problems with memory, attention, and decision-making. Chronic alcohol abuse, for example, can cause cognitive deficits resembling dementia and increase the risk of developing conditions such as Alzheimer’s disease. Drug abuse can also exacerbate age-related cognitive decline and contribute to the development of psychiatric disorders such as depression and anxiety.

    How can family members or caregivers recognize and address substance use disorder in older adults?

    Family members and caregivers can recognize substance use disorder in older adults by observing changes in behavior, physical appearance, and social interactions. Signs may include mood swings, neglect of personal hygiene, unexplained injuries, and withdrawal from social activities. It’s important to approach the issue with empathy and support, encourage open communication, and offer assistance in seeking professional help or treatment.

    How can social isolation and loneliness contribute to substance abuse in older adults?

    Social isolation and loneliness are significant risk factors for substance abuse in older adults. Feelings of loneliness and social disconnectedness can lead individuals to seek solace in alcohol or drugs as a means of coping with emotional distress or filling a void in their lives. Additionally, social isolation may limit opportunities for social engagement and support, increasing the likelihood of substance misuse as a form of self-medication or distraction.

    Sources

    [1] Blazer, D. G., & Wu, L.-T. (2009). The Epidemiology of Substance Use and Disorders Among Middle Aged and Elderly Community Adults: National Survey on Drug Use and Health. The American Journal of Geriatric Psychiatry, 17(3), 237–245. https://doi.org/10.1097/jgp.0b013e318190b8ef on May 11, 2024

    [2] National Institute on Drug Abuse. (2020, July 9). Substance Use in Older Adults DrugFacts. National Institute on Drug Abuse. https://nida.nih.gov/publications/drugfacts/substance-use-in-older-adults-drugfacts on May 11, 2024

    [3] Kessler, R. C. (2004). The epidemiology of dual diagnosis. Biological Psychiatry, 56(10), 730–737. https://doi.org/10.1016/j.biopsych.2004.06.034 on May 11, 2024

    [4] Older Adults and Substance Use Disorder | NCDHHS. (n.d.). Www.ncdhhs.gov. https://www.ncdhhs.gov/divisions/mental-health-developmental-disabilities-and-substance-abuse/adult-mental-health-services/older-adultmental-health/older-adults-and-substance-use-disorder on May 11, 2024

    [5] Kuwert, P., Pietrzak, R. H., & Glaesmer, H. (2013). Trauma and posttraumatic stress disorder in older adults. Canadian Medical Association Journal, 185(8), 685–685. https://doi.org/10.1503/cmaj.120866 on May 11, 2024

    [6] Alcohol/Drug Abuse/Misuse – American Association for Geriatric Psychiatry. (n.d.). Https://Www.aagponline.org/. https://www.aagponline.org/patient-article/alcohol-drug-abuse-misuse/ on May 11, 2024

    [7] Margaret Mattson, Ph.D, Rachel N. Lipari, Ph.D., Cameron Hays, M.A., and Struther L. Van Horn, M.A. (2017). A Day in the Life of Older Adults: Substance Use Facts. Samhsa.gov. https://www.samhsa.gov/data/sites/default/files/report_2792/ShortReport-2792.html on May 11, 2024

    [8] McGovern, M. P., Lambert-Harris, C., Gotham, H. J., Claus, R. E., & Xie, H. (2012). Dual Diagnosis Capability in Mental Health and Addiction Treatment Services: An Assessment of Programs Across Multiple State Systems. Administration and Policy in Mental Health and Mental Health Services Research, 41(2), 205–214. https://doi.org/10.1007/s10488-012-0449-1 on May 11, 2024

    Access Quality Care For You or a Loved One

    Unlock a brighter path to wellness and recovery. Our compassionate team understands the unique challenges facing seniors and provides personalized healthcare to support your journey toward recovery and renewed vitality. With evidence-based treatment options, holistic approaches, and a supportive community, Wellbridge is your partner in reclaiming a fulfilling and substance-free life.

    CONTACT WELLBRIDGE TODAY