Diagnosis and treatment of alcohol dependence in older alcoholics.

Abstract:

:Treatment of alcohol dependence among older alcoholic patients should be multidimensional to address as many potential relapse factors as possible. As the literature suggests, alcohol-related disorders often are under diagnosed and under treated. More efforts are needed to identify and improve diagnosis of these disorders in older alcoholic patients. For better outcomes, age-specific programs should be implemented. Furthermore, when treating elderly patients, basic therapeutic principles like respect for privacy and a respectful attitude should be adopted. Adequate medical, pharmacologic, and psychiatric treatment should be provided when appropriate. Medication to reduce cravings should be considered in patients without contraindications to its use. Participation in individual, group, and family therapy and attendance at self-help group meetings such as AA should be encouraged (Table 8). Despite the lack of empiric testing to validate these recommendations in an elderly population, clinical experience suggests that adherence to these recommendations will benefit elderly patients just as it has the general adult population. Research is necessary to explore the benefits of alcohol treatments in elderly patients. Until then, adherence to these recommendations should be the best available approach.

journal_name

Clin Geriatr Med

authors

Sattar SP,Petty F,Burke WJ

doi

10.1016/s0749-0690(03)00045-4

subject

Has Abstract

pub_date

2003-11-01 00:00:00

pages

743-61

issue

4

eissn

0749-0690

issn

1879-8853

pii

S0749-0690(03)00045-4

journal_volume

19

pub_type

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