Old and High A Guide to Understanding the Neuroscience and Psychotherapeutic Treatment of Baby-Boom Adults' Substance Use, Abuse, and Misuse

Despite the stereotype of older adults primarily abusing alcohol, clinical practice insights indicate that the baby-boom generation frequently abuses the same substances as younger adults-including alcohol, benzodiazepines/z-drugs, cannabis, opioids, tobacco (nicotine), and neurostimulants. Old and High exposes this hidden epidemic and emphasizes the importance of understanding psychotropic substance abuse as a community health problem. Further, the book identifies the unique cultural values, social values, and risks that baby-boom adults have with respect to substance abuse and misuse to give students and clinical professionals in psychology, social work, gerontology, nursing, and medicine a foundation for working with this population. Readers will learn how to integrate current neuroscience findings with contemporary psychotherapy techniques and harm-reduction interventions to help older adults achieve successful recovery from substance abuse problems. Considering that we will likely observe an increase in rates of substance abuse as the baby-boom generation continues to age-and live longer than previous groups-there will be a major need to better understand the unique risk factors and treatment approaches for working with older adults.

Robert Youdin, PhD, is Visiting Research Collaborator in the Department of Molecular Biology at Princeton University and has a psychotherapy practice in Princeton, NJ, specializing in substance abuse treatment.

Foreword
Prologue
Acknowledgments

Part I. Understanding Baby-Boom Adult Psychotropic Substance Use, Abuse and Misuse
Chapter 1. Who Are the Baby-Boom Adults?: Differences Between Their Using, Abusing, and Misusing Psychotropic Substances
Chapter 2. Basic Anatomical and Psychophysiological Concepts Needed to Understand Baby-Boom Adults' Psychotropic Substance Use, Abuse, and Misuse
Chapter 3. Consequences of Baby-Boom Adults' Psychotropic Substance Abuse and Misuse

Part II. Psychotropic Substances Used, Misused, and Abused By Baby-Boom Adults
Chapter 4. Alcohol
Chapter 5. Benzodiazepines and Sleep Medications
Chapter 6. Cannabis
Chapter 7. Opioids
Chapter 8. Psychostimulants
Chapter 9. Tobacco

Part III. Psychotherapy Theories and Interventions
Chapter 10. Psychotherapy Theories, Techniques, and Harm Reduction Interventions for Treating Baby-Boom Adults' Psychotropic Substance Abuse