We summarize specific features of alcohol-related problems in elderly patients. About one third alcohol dependent elderly patients develop their alcohol dependence while already aged. It often happens after stressful life events such as retirement or bereavement. Such patients can be treated more easily and alcohol does not cause so many somatic complications in them when compared with those elderly who develop their dependence earlier. Alcohol-related problems in elderly patients should be recognized and treated as soon as possible. Cognitive-behavioural therapy, supportive group therapy with peers (especially in lonely patients), self-help groups, such as Alcoholics Anonymous, and family therapy are appropriate. Modern anticraving medication can be also effective but comparatively high price limits its use.

Psychiatrická lécebna Bohnice Praha