Are seniors all addicts?

TEXTE:

JULIEN CREVOISIER

Publié il y a 3 mois

23.01.2025

Partager

Among those over 65, the symptoms of alcohol dependence are often misconstrued as effects of ageing.

Alcohol dependency affects all age groups, but seniors are particularly vulnerable. After age 75, almost 37% of men and 15% of women consume alcohol daily, three to five times more than working people under 65. In Switzerland, 6.2% of seniors suffer from problematic alcohol consumption, the equivalent of more than four glasses of wine per day for a man and two for a woman, according to the latest figures from the Swiss Federal Office of Public Health. And about a third of the individuals affected developed this addiction after retirement. 

At the same time, this population also consumes many drugs, including benzodiazepines, sedatives that include Temesta and Xanax, taken by almost 18% of people over 75, according to a report of Addiction Suisse.

Increased risk of psychological disorders

“Retiring from the labour force, the mourning of a loved one or the lack of social contact exposes some people to mental disorders such as depression and anxiety," says Pierre Vandel, Head of Service at the University Service of Advanced Age Psychiatry (SUPAA) of the CHUV.

Although common, this psychological distress is often misdiagnosed in people over 65. “The most common symptoms, such as a feeling of deep sadness, decreased psychomotor abilities or loss of appetite, are sometimes mistakenly considered to be a simple effect of aging. This trivialisation unfortunately leads to many delays in access to care for people who would need it.”

In addition, risky behaviours are easily overlooked, especially among people who live alone. “Excessive drinking, for example, is often detected only after it has had its first adverse effects on health, for example when one is hospitalised for acute confusional state or an accident on the public road.”
 

“The third time I fell, I broke my nose...”

Olivier*, 70, a former teacher, developed a strong addiction to alcohol after retiring. The issues that led him to drink are plenty: a breakup, the end of his career and isolation due to the pandemic. An accumulation that led him to drink more and more daily. Although he was aware of the evil that gnaws at him, at first the retiree did not ask for any help. “I stumbled and sometimes fell to the ground. The third time I fell, I broke my nose and decided to alert my sister.”

Olivier is then hospitalised for the injuries caused by his fall, but his addiction to alcohol is left untreated. He would then go to the Addiction Medicine Unit of the hospital of Cery, which agreed to take care of him. It was the beginning of a long struggle. After three weeks of withdrawal, the retiree entered a specialised institution and followed a rehabilitation program for one month, including meditation sessions and relapse prevention.

“I felt shame. In the first few months after treatment, I was extremely cautious. I knew that the slightest misstep could lead to a relapse." Olivier refrained from drinking for nearly two and a half years. Then, during a holiday with friends in Italy, he drank a glass of wine. “I was in good company, and I wanted to reconnect with my jovial side. I felt ready to try again while keeping my intake in check.”

But he quickly lost control of the situation. “From there, it went from bad to worse. I found myself in situations of intoxication comparable to those I experienced three years earlier.” His daughter sounded the alarm. He was admitted a second time to Cery, where he would spend ten days of withdrawal.

Today, the former teacher says that he is in a "good state of mind" and states that he does not drink anymore. For him, abstinence also means giving up a longstanding pleasure. “That’s why I first hoped that I could one day control my consumption. But the relapse episode made me realise that the negative consequences far outweigh the positive ones.”

For Professor Jean-Bernard Daeppen, Head of the addiction medicine department, drinking episodes represent a higher risk for the health of people over 65 years old, as the organism becomes more fragile with age. “They are particularly vulnerable to diseases such as pancreatitis and cirrhosis.”

* pseudonym

Benzodiazepines and alcohol don’t mix

With acute alcoholism, the likelihood of a loss of balance is increased in individuals on benzodiazepine-based drug therapy, which has a sedative function. “Mixing these substances with alcohol can seriously alter the balance and cause significant mental confusion,” says Jean-Bernard Daeppen. “Many seniors use benzodiazepines to combat sleep disorders and anxiety, which are very common in this age group. These substances are very effective but also highly addictive. However, this risk is well known to the nursing staff. Prescriptions to patients are adequately supervised and monitored so as to avoid addiction.”

Précarité / Senior / Testimonial / Vulnerabilité

Are seniors all addicts?

TEXTE:

JULIEN CREVOISIER

Publié il y a 3 mois

23.01.2025

Partager

Among those over 65, the symptoms of alcohol dependence are often misconstrued as effects of ageing.

Alcohol dependency affects all age groups, but seniors are particularly vulnerable. After age 75, almost 37% of men and 15% of women consume alcohol daily, three to five times more than working people under 65. In Switzerland, 6.2% of seniors suffer from problematic alcohol consumption, the equivalent of more than four glasses of wine per day for a man and two for a woman, according to the latest figures from the Swiss Federal Office of Public Health. And about a third of the individuals affected developed this addiction after retirement. 

At the same time, this population also consumes many drugs, including benzodiazepines, sedatives that include Temesta and Xanax, taken by almost 18% of people over 75, according to a report of Addiction Suisse.

Increased risk of psychological disorders

“Retiring from the labour force, the mourning of a loved one or the lack of social contact exposes some people to mental disorders such as depression and anxiety," says Pierre Vandel, Head of Service at the University Service of Advanced Age Psychiatry (SUPAA) of the CHUV.

Although common, this psychological distress is often misdiagnosed in people over 65. “The most common symptoms, such as a feeling of deep sadness, decreased psychomotor abilities or loss of appetite, are sometimes mistakenly considered to be a simple effect of aging. This trivialisation unfortunately leads to many delays in access to care for people who would need it.”

In addition, risky behaviours are easily overlooked, especially among people who live alone. “Excessive drinking, for example, is often detected only after it has had its first adverse effects on health, for example when one is hospitalised for acute confusional state or an accident on the public road.”
 

“The third time I fell, I broke my nose...”

Olivier*, 70, a former teacher, developed a strong addiction to alcohol after retiring. The issues that led him to drink are plenty: a breakup, the end of his career and isolation due to the pandemic. An accumulation that led him to drink more and more daily. Although he was aware of the evil that gnaws at him, at first the retiree did not ask for any help. “I stumbled and sometimes fell to the ground. The third time I fell, I broke my nose and decided to alert my sister.”

Olivier is then hospitalised for the injuries caused by his fall, but his addiction to alcohol is left untreated. He would then go to the Addiction Medicine Unit of the hospital of Cery, which agreed to take care of him. It was the beginning of a long struggle. After three weeks of withdrawal, the retiree entered a specialised institution and followed a rehabilitation program for one month, including meditation sessions and relapse prevention.

“I felt shame. In the first few months after treatment, I was extremely cautious. I knew that the slightest misstep could lead to a relapse." Olivier refrained from drinking for nearly two and a half years. Then, during a holiday with friends in Italy, he drank a glass of wine. “I was in good company, and I wanted to reconnect with my jovial side. I felt ready to try again while keeping my intake in check.”

But he quickly lost control of the situation. “From there, it went from bad to worse. I found myself in situations of intoxication comparable to those I experienced three years earlier.” His daughter sounded the alarm. He was admitted a second time to Cery, where he would spend ten days of withdrawal.

Today, the former teacher says that he is in a "good state of mind" and states that he does not drink anymore. For him, abstinence also means giving up a longstanding pleasure. “That’s why I first hoped that I could one day control my consumption. But the relapse episode made me realise that the negative consequences far outweigh the positive ones.”

For Professor Jean-Bernard Daeppen, Head of the addiction medicine department, drinking episodes represent a higher risk for the health of people over 65 years old, as the organism becomes more fragile with age. “They are particularly vulnerable to diseases such as pancreatitis and cirrhosis.”

* pseudonym

Benzodiazepines and alcohol don’t mix

With acute alcoholism, the likelihood of a loss of balance is increased in individuals on benzodiazepine-based drug therapy, which has a sedative function. “Mixing these substances with alcohol can seriously alter the balance and cause significant mental confusion,” says Jean-Bernard Daeppen. “Many seniors use benzodiazepines to combat sleep disorders and anxiety, which are very common in this age group. These substances are very effective but also highly addictive. However, this risk is well known to the nursing staff. Prescriptions to patients are adequately supervised and monitored so as to avoid addiction.”

Précarité / Senior / Testimonial / Vulnerabilité