About 4% of people over 65 struggle with substance abuse, most often involving alcohol, prescription drugs, or over-the-counter medications.
Older adults with substance abuse issues generally fall into two categories: those with a long history of substance use and those who begin after age 65. Late-onset substance use may start to cope with age-related stressors, such as health challenges, financial changes, grief, loneliness, boredom, chronic pain, or sleep disturbances.
Signs and symptoms of substance abuse in older adults will vary depending on what substance is being used. Look for loss of interest in activities, depression and anxiety, hostility, confusion, losing prescriptions, changing doctors, changes in hygiene, changes in appearance, sleeping more than often, and/or being secretive.
When intervention is needed, involve only one or two trusted relatives or friends. Older adults may feel guilt or shame about “losing control” later in life, so approach the conversation with care. Be honest about the changes you’ve observed and take time to understand their reasons for substance use.
Substance abuse treatment for older adults is similar to treatments for younger people, including counseling, medication-assisted therapy, and support groups. Age-specific groups can be helpful, as they often adjust the pace, repeat important information, or speak louder so everyone can participate and benefit.
