Alcoholism in the elderly

Article Abstract:

Physicians may need to be more actively involved in the diagnosis and treatment of alcoholism in the elderly. In one study, accurate diagnosis of alcoholism occurred in 37% of elderly patients, as opposed to 60% of non-elderly patients. The social isolation and the psychological problems of many elderly people, in addition to the denial commonly associated with alcoholism, may both exacerbate a drinking problem and make it difficult to differentiate from other disorders. There appears to be a need for better age-specific definitions and guidelines regarding alcoholism in the elderly. Elderly alcoholic patients may have either suffered from the disease throughout much of their life or may have experienced onset at 60 years or older. The late-onset group appears to have a better prognosis. Recognition of early warning signs and reduction of stress may have important roles in preventing the disease.

Aged, Elderly, Alcohol use

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A man with alcoholism and HIV infection

Article Abstract:

Alcoholism is a difficult disease to treat because it interferes with a patient's ability to follow medical advice. A case in point discussed by a panel of physicians is a 39-year-old man with alcoholism and HIV infection. He seems to know the connections between his problems and alcoholism but still keeps drinking. The physicians discuss ways of treating addiction, and emphasize the importance of using compassion but continuous pressure in getting the patients into treatment. The objective should be to tackle the disease, not the patient. Genes and environmental factors may influence the development of alcoholism. Alcohol may provide a kind of power and a perceived relief from problems that make the alcoholic continue to drink. Physicians should realize that many alcoholics view drinking as a positive experience.

Psychological aspects, Alcoholics

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A 28-Year-Old Man Addicted to Cocaine. (Clinical Crossroads)

Article Abstract:

The causes and treatment of cocaine addiction are described based upon the case of a 28-year-old man. There is no effective drug therapy for cocaine addiction so cognitive behavioral therapy and other psychosocial support systems are the only treatments.

Cocaine abuse

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