By Phara
Lafortune-Morame, LCSW, MCAP, EMDR cert., QS.There are many reasons that significant moments are often
celebrated with a drink. But during the holidays, otherwise-celebratory toasts
can be triggers for people who struggle with substance use disorder, including
seniors.Some families and cultures have
holiday traditions that lean heavily on alcohol consumption. Family recipes for
festive cocktails and toasts before dinners reinforce the idea that consumption
is part of connecting with loved ones and embracing the holiday spirit.The Distilled Spirits Council of the United States notes
that a quarter of the $49-billion-a-year distilled spirits industrys profits
come from the month between Thanksgiving and the New Year. Another study notes
that the average American drinks 27% more during the holiday season compared to
the rest of the year.As a result, the stress and anxiety
associated with the holiday season can result in increased consumption or
return to drug and alcohol use for those currently in recovery, particularly
for older residents, who tend to suffer from depression more during the
holidays. Many studies note that nearly half of
individuals recovering will return to use during the holiday season.The prevalence of substances in
celebrations often mixes badly with the elevated depression and stress the
holidays can bring. Expectations for creating and experiencing holiday joy are
at the center of potential substance use triggers. When mixed with emotional turmoil,
financial stress, loneliness, grief, nostalgia, and dysfunctional and complex
family relationships, this can create a desire to seek temporary escape from
overwhelming feelings through substances. For those aged 65 and older, alcohol
misuse is the most frequently reported substance of use.The use of alcohol in older adults
negatively impacts brain structure and function and can lead to declines in
cognitive function and memory, particularly for adults over the age of 65. In
addition, the bodys ability to break down alcohol decreases with age,
resulting in increased risk for accidents and falls, fractures and car accidents.
For anyone in recovery from
substance use disorder, or concerned about increased consumption through the
holidays, it is important to plan.Here are strategies for staying
sober:
Be aware of people, places or
situations that can trigger consumption, and do what you can to minimize these
exposures.
Keep (and bring, if necessary) a
nonalcoholic drink in your hand to resist temptation and discourage others from
offering an alcoholic drink.
Set realistic expectations. Stress
is common for nearly everyone during the holidays,
and spontaneous, imperfect moments are often the most memorable and special
moments.
Take care of yourself. Proper
nutrition, exercise and meditation do wonders for your well-being. If you feel
well physically, you will be stronger emotionally.
Set boundaries, and let people know
where you need support in resisting temptations.
Have a plan on how to navigate, and
more importantly exit social gatherings (For example, do not be dependent on
someone else for transportation, so you can leave if needed).
Be aware that returning to use a
substance after a period of abstinence can happen AFTER the holidays, where we
can justify returning to use by feeling entitled to drink or use drugs for
having made it through the holidays. Sometimes, we manage better during a
crisis than afterward..
Seek
professional help and support.Sometimes, substance misuse is
difficult to recognize in older adults, and few treatment programs are designed
to meet their needs. However, the Primary Care Addiction
Treatment (PCAT) program for adults at Healthcare Network follows a supportive,
compassionate and nonjudgmental approach to encourage healing and lessen
negative effects. The program treats every patient with respect and dignity,
using empathetic language to reduce stigma and foster a supportive environment.Healthcare Network also offers medication for addiction
treatment (MAT) for opioid use disorder, alcohol use disorder, and other
substances within a primary care setting. Comprehensive care includes
medication treatment along with behavioral therapy and counseling services to
provide a whole-care approach to treating substance use disorders and support
recovery.In addition, our primary care
programs for the whole family include integrated mental and behavioral health
care to address some of the mental health challenges that are sometimes at the
root of substance use disorders.Help is available
through the holidays and beyond. Supportive treatment can be the gift of a
lifetime for you and your loved ones. About the Author
By Phara
Lafortune-Morame is associate clinical director of behavioral health at
Healthcare Network. To learn more about substance use and behavioral and mental
health support available Healthcare Network, visit healthcareswfl.org or call 239.658.3000.