Specialized programs
Addiction in the elderly: The hidden epidemic
Published December 1, 2024 · 8 min read · Updated April 2026
Reviewed for accuracy by licensed clinical professionals.
Substance use disorders in adults over 65 are expected to double by 2030. Alcohol is most common, followed by prescription opioids and benzodiazepines.
Unique risks
Aging bodies metabolize slowly meaning lower doses produce stronger effects. Falls while intoxicated are a leading cause of injury death. Drug interactions with multiple medications are dangerous.
Barriers
Symptoms mimic aging. Physicians may attribute confusion or falls to age rather than substance use. Family may dismiss heavy drinking.
Treatment
Treatment works at any age. Programs adapted for elderly show strong outcomes. Lower medication doses needed. Age-matched peer groups are more effective.
Frequently asked questions
Is addiction common in the elderly?
Substance use disorders in seniors are underdiagnosed but increasing. Expected to double by 2030 as baby boomers age.
Can elderly people go to rehab?
Yes. Treatment works at any age. Programs adapted for seniors show strong outcomes.
What substances do elderly people abuse?
Alcohol is most common, followed by prescription opioids and benzodiazepines. Over-the-counter sleep aids and cough medicines are also misused.
Disclaimer: Informational only. Not medical advice. SAMHSA: 1-800-662-4357.