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Older adults with substance use disorders present to clinicians in various stages of change. Dr. Bogunovic discusses brief clinical interventions including motivational interviewing and how to approach harm reduction.

With three FDA-approved medications for alcohol use disorders and three FDA-approved medications for opioid use disorders, it can be hard to know where to start. Here we review the pros and cons of these six medications—and provide recommendations for their use in older adults.

Drinking more than six cups of coffee daily is associated with higher odds of dementia.

Stimulants may not significantly increase cardiovascular adverse events in older adults after the first month.

This study tests whether mental illness itself (independent of lifestyle factors) accelerates biological aging. 

How do you choose a screening tool for substance use disorders in older adults, and what do you do when a patient screens positive? We discuss common screening tools, assessments, and interventions based on an older adult’s risk level.