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Dry January — giving up alcohol for the month of January — is a great idea at any age, but especially for seniors. According to a Gallup poll from July 2024, while younger generations have been drinking less over the last two decades, there's been a nearly 10 percentage-point increase in people 55 and older who drink alcohol regularly. "As we age, our bodies process alcohol differently, and even moderate drinking can have a stronger impact on health," says psychologist Ryan C. Warner.
If you’re sober-curious and considering trying Dry January, our AARP Smart Guide can help walk you through the process.
GETTING STARTED
1. Think about why you drink
If Dry January seems daunting, it may be time to look at recent lifestyle challenges that have led to an increase in your drinking. For example, “retirement brings special challenges as one loses the social support of coworkers and the structure that a job provides,” says Joseph R. Volpicelli, M.D., executive director at the Institute of Addiction Medicine. “Free of the demands placed by a job, [retirees find that] alcohol drinking has one less constraint and can gradually increase.” Plus, losing a loved one, especially your spouse, can have “a profound effect on increased sadness and loneliness,” Volpicelli says.
2. Understand what “unhealthy drinking” actually means
Unhealthy drinking is either drinking too much on a particular day (binge drinking) or having too many drinks over a week (heavy drinking), Volpicelli notes. The Centers for Disease Control and Prevention (CDC) says that adults 65 and older should limit their alcohol consumption to no more than one drink per day and seven drinks per week. Although the risks are lower for adults who follow these guidelines, drinking later in life still poses “several increased health risks,” Volpicelli says. This can include high blood pressure, osteoporosis and cancer.
3. Audit your alcohol consumption
"We often underestimate our alcohol intake, and tracking it can provide a clearer picture of our habits," Warner says. Write down your daily intake to create an honest assessment of how much you actually drink during an average week and determine if you're veering into dangerous territory.
4. Be aware of “gray area” drinking
Gray-area drinking refers to drinking that "doesn’t meet the full clinical criteria for Alcohol Use Disorder (AUD) but can still be problematic," Warner says. This can be social drinking that occurs more than a few days a week, or regularly using alcohol to de-stress at the end of the day. "Even though it may not qualify as ‘full-blown addiction,’ this type of drinking can still harm your health, relationships and daily life," Warner says.
5. Know your personal “why”
Whatever inspired you to try Dry January, keep that in mind as you tackle an alcohol-free month. “Recognize that this is something you are doing for yourself primarily — a gift of improved physical and emotional health that’ll benefit you year-round,” says Edie Weinstein, a licensed social worker, psychotherapist and interfaith minister. “Don’t look at it as a New Year’s resolution. Consider it a lifestyle change and a shift in attitude about alcohol.” Even when (or if) you go back to consuming alcohol, you’ll now know how you feel without it.
6. Track the benefits
How do you know if Dry January is benefiting your body? Journal about it, recommends Lisa Smith, author of Girl Walks Out of a Bar and cohost of the podcast Recovery Rocks. “Go gently with yourself and pay attention to how you feel without the alcohol," Smith says. "Are you sleeping better? Feeling less sluggish in the morning? Eating better? Have a clearer head?”
7. Don’t stress about tomorrow
As you make your way through 31 days without booze, try to focus on the current day, Smith says. “Don't worry about how you'll skip alcohol tomorrow or for the rest of the month. Remember that if you do drink, you can just pick right up and start again the next day. No need to be perfect!”
8. Understand and avoid triggers
When you begin Dry January, you may notice that certain thoughts, feelings, people, places or things make you crave alcohol. “Triggers include loneliness, boredom, stress and health issues,” explains Rehan Aziz, M.D., a geriatric psychiatrist and associate professor of psychiatry and neurology at Hackensack Meridian School of Medicine. “Retirement is a particularly challenging time. It can bring major changes in social roles and social networks, as well as changes to assets like income and health insurance. Any of these factors can cause loneliness and stress, which can lead to depression.”
9. Talk to your doctor
“Many health care professionals fail to ask patients about their drinking, and this is especially true for older adults,” Volpicelli says. Bring up the topic with your doctors, since even moderate drinking can “increase the risk of cancer or neurological damage.” Ask your doctor to measure liver enzymes, he advises. “As the liver is damaged by alcohol, liver cells release enzymes in the bloodstream that can be easily measured. If the results show liver damage not associated with other medical disorders, then a reduction in drinking or a period of abstinence is a good idea.”
10. Consider whether medication would help
If you crave alcohol or experience difficulty in controlling your alcohol use, Volpicelli recommends asking your doctor about medications like naltrexone or acamprosate, which could help reduce alcohol cravings. “These FDA-approved medications are helpful for a wide range of people,” he explains. “The medications are safe for older people and generally do not interact with other medications. The medication naltrexone has been tested specifically for older adults and found to be safe and effective.”
11. Think twice about going “California sober”
This popular trend that originated in California (thus the name) involves replacing alcohol with cannabis. While it may work for some, "it’s important to consider the potential for replacing one habit with another that might not be as healthy as it appears," Warner says. A large study published last February in the Journal of the American Heart Association found that daily cannabis use was associated with a 25 percent increased risk of heart attack and 42 percent increased risk of stroke compared to non-use.
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