Mental Health + Aging with Dr. Regina Koepp

#106- Aging and Alcohol: How to Identify Problem Drinking in Older Adults


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Did you know that 65% of adults over 65 report high-risk drinking? Understanding the unique impacts of alcohol on aging bodies is crucial for all of us.

In this episode, I'll walk you through three key considerations: increased sensitivity to alcohol, health complications, and harmful interactions with medications. We'll also discuss common triggers for increased alcohol use and practical tips for caregivers and healthcare providers to help identify and manage problem drinking among older adults.

Episode Highlights:

  1. Increased Sensitivity to Alcohol:
    • As we age, our bodies become more sensitive to alcohol.
    • This means we experience its effects more quickly, putting us at a higher risk for falls, car accidents, and injuries.
  2. Health Complications:
    • Older adults often have health conditions like diabetes, heart disease, and osteoporosis that alcohol can make worse.
    • Heavy drinking can also lead to new health issues, such as liver disease and dementia.
  3. Medication Interactions:
    • Many older adults take medications that can interact dangerously with alcohol.
    • Even common over-the-counter meds can have harmful effects when mixed with alcohol.
  4. Triggers for Increased Alcohol Use:
    • Life changes like retirement, divorce, or the loss of a loved one can lead to more drinking.
    • Functional limitations and boredom can also contribute to increased alcohol use.
  5. Identifying Problem Drinking:
    • Signs of alcohol use disorders can look like other medical conditions.
    • The CAGE screening tool can help identify problem drinking in older adults.
  6. Effective Treatment:
    • Substance use treatment works, even for older adults.
    • Everyone deserves access to mental health care and support, no matter their age.

Practical Tips:

  • Be curious and open when discussing alcohol use with older adults.
  • Encourage them to be honest with their healthcare providers about their drinking.
  • Offer support and resources to help manage alcohol use and life transitions.

Final Thoughts: Remember, you play a crucial role in supporting older adults. There's no expiration date on healing and transformation. Every person, at every age, deserves access to mental health care. Let’s break the myths and get older folks the help they need.


Have a topic idea? Send us a text.

👉 Want to Become an Aging Informed Therapist? Join us for our live CE course on 8/21/25 from 12-1:30pm EST. Click here to learn more.

PROFESSIONALS: Grab your free guide to working with older adults here


Attention Social Workers, Therapists, Counselors, Psychologists, Aging Life Care Experts... Click here to get Continuing Education Credits

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Mental Health + Aging with Dr. Regina KoeppBy Dr. Regina Koepp

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