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Home > Common Concerns > Alcoholism/Addiction > Frequently Asked Questions

Frequently Asked Questions

1. What is the definition of alcoholism?
2. How does alcoholism and addiction differ in older men and older women?
3. What is the difference between early onset and late onset alcoholism?
4. Why does my dad now seem to have trouble driving after just a few drinks?
5. Do elders respond to treatment for alcohol and other substance abuse?

1. What is the definition of alcoholism?

Alcoholism is defined as "a primary chronic disease with genetic, psychological and environmental factors influencing its development and manifestations. The disease is often progressive and fatal. It is characterized by impaired control over drinking, preoccupation with the drug alcohol, use of alcohol despite adverse consequences, and distortions in thinking, most notably denial."

2. How does alcoholism and addiction differ in older men and older women?

More older men have substance abuse problems than older women, but more women have late onset alcoholism, where they began drinking heavily later in life. This may be because more women suffer the loss of their spouse and more are likely to experience depression.

3. What is the difference between early onset and late onset alcoholism?

Early onset alcoholics are people who have abused alcohol from a fairly young age throughout most of their lives. Many have a family history of alcoholism. They account for about 70% of older alcoholics. The other 30% are late onset alcoholics. Their alcoholism begins sometime after age 50, usually set off by a traumatic event, such as the death of a spouse.

4. Why does my dad now seem to have trouble driving after just a few drinks?

Moderate amounts of alcohol can impair older adults more than younger people. This is because the older body has less water and metabolizes alcohol differently. Medication may also play a role. If your dad is taking several prescriptions, they might be exacerbating the effects of the alcohol.

5. Do elders respond to treatment for alcohol and other substance abuse?

Yes, evidence shows that older people respond just as well if not better than younger people do to treatment. Seniors are more likely to understand the benefits of sobriety – and the benefits can be far reaching. In addition to stopping drinking, they’ll find themselves feeling more vital and healthy, as well as building new friendships with other people who are learning to live without abusing alcohol or drugs.