People who have substance use disorder keep using alcohol or other substances even though it causes harm to themselves or others. People of all ages can have this disorder. They may misuse prescription or over-the-counter medicines, use marijuana or other drugs, drink too much alcohol, or mix alcohol and medicines. This can cause serious health problems and problems with money or the law. It also can harm their relationships.
Substance use disorder in older adults may be overlooked, because:
The more symptoms of substance use disorder you have, the more severe it may be. Symptoms include:
Substance use disorder may be diagnosed during a routine doctor visit. Or you may see your doctor for a health or other problem linked to substance use, such as anxiety, depression, or family conflict.
Your doctor will ask questions about your symptoms and past health and do a physical exam. If your doctor thinks you have substance use disorder, your doctor may ask about current and past substance use and your family history of substance use.
Your doctor may ask you to have:
If you and your doctor agree that you have substance use disorder, your doctor probably will refer you to a specialist who treats substance use.
Many people who have substance use disorder also have a mental health condition, such as depression or an anxiety disorder. This is called a dual diagnosis. If this may be true for you, your doctor may do a mental health assessment.
If you have a dual diagnosis, you'll need treatment for both conditions. This gives you a better chance of a full recovery and less chance of using substances again.
The goal of treatment is to safely reduce or quit substance use. You may need medical care at first to manage withdrawal symptoms. Some people call this detox.
Most people get some type of counseling, such as group therapy. Medicines are often used to help control cravings, ease withdrawal symptoms, and prevent relapse.
Treatment can also help you reduce problems associated with substance use. This may include getting used to life without the substance. Counseling can help you prepare for people or situations that might tempt you to start using again.
Getting support from others can help. Many people find support by going to group meetings. Examples are Alcoholics Anonymous, Narcotics Anonymous, and SMART Recovery.
Here are some ways to help you stay sober and prevent relapse.
Call 911 anytime you think you may need emergency care. For example, call if you or someone else:
Where to get help 24 hours a day, 7 days a week
If you or someone you know talks about suicide, self-harm, a mental health crisis, a substance use crisis, or any other kind of emotional distress, get help right away. You can:
Consider saving these numbers in your phone.
Go to 988lifeline.org for more information or to chat online.
Call your doctor now or seek immediate medical care if:
Watch closely for changes in your health, and be sure to contact your doctor if:
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