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QUIZ: Signs of Alcoholism and Drug Abuse in Older People

The signs of alcohol abuse and medication dependence can be different in adults fifty-five-years-old and over than in younger people. They often drink at home alone so no one notices the severity of the problem. Many older adults or seniors are retired, so they don't have work related problems due to their chemical dependency. They drive less, so there's less opportunity for them to get arrested for driving under the influence.

The following signs and symptoms are typical of older adults or seniors with an alcohol or other drug problem:

YES NO  
Prefers attending events where drinking is accepted, such as luncheons, happy hours, and parties
Drinks in solitary, hidden from others
Is drinking the same or less yet still experiencing problems
Makes a ritual of having drinks before, with, or after dinner. Becomes annoyed when this ritual is disturbed.
Has lost interest in activities and hobbies that used to bring pleasure.
Drinks in spite of warning labels on prescription drugs
Suffers from alcohol-related health problems
Has bottles of tranquilizers on hand and takes them at the slightest sign of disturbance
Is often intoxicated or slightly tipsy, and sometimes has slurred speech
Secretly disposes of large volumes of empty beer and liquor bottles
Suffers from tremors and shakes
Makes excuses to keep liquor in the house (guests, special occasions, etc.)
Drinks despite health problems
Frequently expresses a wish to die
Often has the smell of liquor on his or her breath or uses mouthwash to disguise it
Is neglecting personal appearance and gaining or losing weight
Complains of constant sleeplessness, loss of appetite, or chronic health problems that seem to have no physical cause
Has unexplained burns or bruises and tries to hide them
Seems more hostile or resentful than usual
Neglects home, bills, pets
Can’t handle routine chores and paperwork without making mistakes
Has irrational or undefined fears and delusions, or seems under unusual stress
Seems to be losing his or her memory
Falls asleep during conversations
Appears to be depressed
Calls at odd hours
Has problems with urinary incontinence
Suffers from heart arrhythmia
Is less involved in activities during evening hours

If you can answer yes to two (2) or more questions, the person you are concerned about should get a professional assessment by a certified addiction specialist. Many of the symptoms listed above are attributed to other diseases or are considered part of the aging process. However, many older people find that once they achieve sobriety, these symptoms disappear.

For help, call your nearest Gateway treatment program.

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