# 1121 - Unique Issues in Diagnosis and Treatment of Addiction in Older Adults

Page: https://stenobird.com/podcast/counselor-toolbox-podcast-with-docsnipes-633172/1121-unique-issues-in-diagnosis-and-treatment-of-addiction-in-older-adults
Text version: https://stenobird.com/podcast/counselor-toolbox-podcast-with-docsnipes-633172/1121-unique-issues-in-diagnosis-and-treatment-of-addiction-in-older-adults.md
Podcast: [Counselor Toolbox Podcast with DocSnipes](https://stenobird.com/podcast/counselor-toolbox-podcast-with-docsnipes-633172)
Published: 2026-08-07T09:30:00+00:00
Episode link: https://www.podtrac.com/pts/redirect.mp3/pdst.fm/e/traffic.megaphone.fm/CDSV8830778630.mp3
Audio file: https://www.podtrac.com/pts/redirect.mp3/pdst.fm/e/traffic.megaphone.fm/CDSV8830778630.mp3
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JSON: https://stenobird.com/v1/public/podcasts/counselor-toolbox-podcast-with-docsnipes-633172/episodes/1121-unique-issues-in-diagnosis-and-treatment-of-addiction-in-older-adults
Duration seconds: 3487

## Resource

00:00 Introduction & Overview 00:42 Aging and Drug Responses 02:02 Body Composition and Medication Effects 06:01 Kidney & Liver Clearance in Aging 07:45 Drug Competition & Enzyme Decline 09:49 Nutrient Deficiencies & Drug Absorption 12:12 Medication Interactions in Older Adults 13:11 Health Disorders Impacting Drug Clearance 15:41 Frailty, Cognitive Impairment & Medication Challenges 18:14 Vision, Brain Changes & Medication Safety 21:02 Inflammation, Diet & White Matter 25:00 Addictive Behaviors & Aging Vulnerability 28:09 White Matter Loss & Chronic Stress 30:46 Gambling, Impulsivity, and Clinical Notes 33:11 Is It Addiction or Aging? Diagnostic Challenges 36:08 DSM-5 Limitations and Underrecognized Issues 40:06 Differential Diagnosis & Overlapping Symptoms 43:00 Testing, False Results & Medication Effects 47:24 Substance Use and Aging: Family Awareness & Risks 52:13 Clinical Practice Guidelines & Polypharmacy 53:20 Treatment Challenges in Older Adults 54:37 Key Takeaways & Counselor Role Learn more about your ad choices. Visit megaphone.fm/adchoices

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## Transcript

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