Educational Activities Archives

Substance Use Disorders in Older Adults is a growing problem not only in the United States but throughout the developed world. The Baby Boomer generation, born between 1946 and 1964, is turning 62-80 years old this year. This group is presenting with more Substance Use Disorders and need for substance use treatment now. The use of an artificial cut off age of 65 years as the definition of elderly or old is arbitrary, and this will be discussed. The course will look at the prevalence, screening and treatment of non-medical use of prescription drugs and illicit opioids, as well as use of tobacco, alcohol, stimulants and cocaine, marijuana, and non-opioid sedative hypnotic agents. There are interactive questions throughout the course to help digest and discuss the information presented.

Co-occurring psychiatric conditions are frequently seen in patients with substance use disorders. Clinicians should be alert to the signs and symptoms of common psychiatric disorders and should understand how to distinguish independent psychiatric disorders from substance-induced disorders. Depressive disorders and anxiety disorders, including post-traumatic stress disorder, are the most common co-occurring conditions, though ADHD is often encountered across the range of substance use disorders. Substance use disorder patients with co-occurring psychiatric disorders will respond to most standard psychological and pharmacological treatments for these psychiatric conditions, though clinicians should avoid the use of scheduled medications and must always focus on sobriety as a primary treatment goal. Treatment that integrates addiction and psychiatric care is the most effective.