Depression often goes unrecognized and untreated in older adults, making it a significant public health concern. Aging leads to unique challenges such as isolation, the loss of loved ones and various health problems, all of which contribute to feelings of sadness and loneliness. Moreover, these emotional struggles can sometimes lead to or exacerbate substance abuse, a condition that is dangerously underdiagnosed in the elderly population.
Causes of Depression in Older Adults
The golden years can be less rewarding for many older adults who struggle with their well-being.
- Social isolation: Retirement, loved ones’ deaths and far-flung family can lead to significant social isolation, a leading risk factor for depression.
- Deteriorating health: Chronic pain, cognitive decline and physical disabilities that affect daily functioning can also contribute to depression. Loss of independence can dramatically affect a loved one’s sense of purpose and self-worth. For example, you may decide to take away an aging parent’s car keys for their safety, leaving them housebound.
- Bereavement: Loss is more frequent as people age. Grief can be profound and long-lasting, sometimes leading to depression.
The Link Between Depression and Substance Abuse
For some older adults, the challenges of aging coupled with the symptoms of depression may lead them to self-medicate with alcohol or prescription drugs. Substance use is a frequently overlooked coping mechanism for several reasons.
- Medications: Older adults are more likely to take multiple prescriptions, which can lead to misuse and dependency. Painkillers and sedatives are particularly dangerous because they can be highly addictive, even when taken according to the instructions.
- Alcohol: While younger people may use illegal drugs more frequently, older adults tend to consume alcohol, which is more socially acceptable and therefore less noticeable. Combining alcohol with prescription medications can cause dangerous interactions.
- Underdiagnosis: Symptoms of substance abuse in older adults often mimic those of other medical and behavioral disorders, such as diabetes, dementia, or depression, making it hard to diagnose. Memory loss, disorientation or frequent falls may appear to stem solely from age-related health issues instead of being a red flag of addictive behavior.
- Less social visibility: Older adults often have fewer social engagements and responsibilities, reducing the likelihood that their family or friends will notice signs of substance misuse.
- Reluctance to seek help: A generational stigma about mental health and substance use can prevent older adults from seeking the help they need.
Treatment for Older Adults at HVRC
Thousands of older adults who would benefit from substance abuse help do not receive it. Recognizing this widespread problem, Hemet Valley Recovery Center & Sage Retreat offers specialized treatment for people 55 and older. Our hospital-based program focuses on helping clients cope with depression, loneliness and loss in an environment that is conducive to this age group’s needs and abilities. Being under the same roof as a general acute care hospital allows our clients to receive immediate professional medical care, giving them and their loved ones peace of mind.
Depression and substance abuse in older adults are complex issues that require specialized attention and care. Our accredited facility provides compassionate, tailored therapy that addresses the specific challenges faced by people 55 and older. We are here to help with treatment options that can lead to recovery and a renewed sense of purpose in later life.