Substance abuse isn’t just a problem for the young. Loneliness and mental health issues, coupled with pre-existing alcohol and drug habits have turned many older adults to controlled substances in their golden years. Here’s what you should know about recognizing substance abuse in your elders and where to turn for help.
“Substance abuse knows no boundary of age,” says Dr. Stephen Scheinthal, DO, dFACN, an osteopathic geriatric psychiatrist from Stratford, NJ. “Whether you are 20 or 80 years old, you may see drinking or taking drugs–whether legal or illegal–as a way of coping with grief, anxiety, depression or pain.”
Alcohol can have significant interactions with prescribed medications. Recent findings from the National Institute on Alcohol Abuse and Alcoholism show that 20-30% of people ages 75 to 85 have experienced drinking problems and, according to the Substance Abuse & Mental Health Services Administration, 2% of older adults in retirement communities report using an illicit drug. A 2008 study suggests that 40% of older adults drink alcohol.
“While the rate of seniors using illegal drugs, like marijuana, is low, older adults often take a higher number of medications to treat chronic illnesses,” says Dr. Scheinthal. “On average, seniors take four to nine pills per day between their prescription drugs and over-the-counter medications and abuse of these medications is not always easy to spot,” he adds.
According to Dr. Scheinthal, overuse of prescribed medications or the act of combining medications with alcohol or other controlled substances can lead to a number of serious consequences, such as:
“With so many potential complications, it is vitally important for older people to talk with their physicians about all medications they are taking, both prescribed and over-the-counter, and to be forthcoming about the amounts they are ingesting and their alcohol and drug intakes,” says Dr. Scheinthal.
Dr. Scheinthal also points out that it’s important for senior citizens to disclose their alcohol, drug, and controlled substance intakes so that a physician will be aware of any withdrawal symptoms.
“If a person becomes hospitalized and the attending physician does not know his patient has a drug habit, he might prescribe medication to treat the patient for being restless or jittery, without realizing the patient actually is going through withdrawal symptoms,” he says.
The following are warning signs caregivers can watch for to see if an older friend or family member might have a substance abuse problem:
Changes in sleep patterns and/or appetite that cannot be attributed to other reasons
Frequently changing physicians or “doctor shopping” to get multiple prescriptions
Filling prescriptions at multiple pharmacies
New onset irritability or agitation
Periods of confusion
Empty liquor bottles in the garbage or recycling bucket.
“Osteopathic physicians (DOs) are specifically trained to listen to their patients and help them deal with both their physical and emotional problems at any stage in their lives. If you think you or someone you know might have a problem with drugs or alcohol, talk to a DO or someone you trust to get help,” says Dr. Scheinthal.
Preventive medicine is just one aspect of care osteopathic physicians (DOs) provide. DOs are fully licensed to prescribe medicine and practice in all specialty areas, including surgery. DOs are trained to consider the health of the whole person and use their hands to help diagnose and treat their patients.
For more information, visit www.niaaa.nih.gov.