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Addiction in older adults: A complete guide

Published October 13, 2024 · 8 min read · Updated April 2026

Reviewed for accuracy by licensed clinical professionals.

Addiction among adults over 65 is a growing crisis. Baby boomers are entering older adulthood with higher substance use rates than previous generations.

Common patterns

Late-onset alcoholism triggered by retirement, loss of spouse, chronic pain, or loneliness. Prescription opioid dependence from chronic pain management. Benzodiazepine dependence from long-term anxiety or insomnia treatment. Over-the-counter medication misuse.

Treatment considerations

Lower medication doses (altered metabolism). More medication interactions. Co-occurring medical conditions. Cognitive impairment may complicate treatment. Social isolation requires community-building. Age-appropriate programming.

Finding help

Geriatric addiction specialists. Age-adapted treatment programs. SAMHSA helpline: 1-800-662-4357. Primary care physician screening.

Authoritative sources

This article references guidelines from: SAMHSA · NIDA · ASAM

Frequently asked questions

Can older adults get addicted?

Yes. Addiction rates among adults over 65 are increasing. Prescription medications and alcohol are most common.

Is treatment different for older adults?

Treatment principles are the same but adaptations for metabolism, co-occurring conditions, and cognitive changes are important.

Where do seniors get addiction treatment?

Age-adapted programs, geriatric specialists, and standard treatment with appropriate modifications.

Disclaimer: Informational only. Not medical advice. SAMHSA: 1-800-662-4357.