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Cannabis use disorder: from neurobiology to treatment
The healthcare provider Oxford House will consider the test results alongside the patient’s symptoms and history to make a diagnosis. If the test comes back negative, it may indicate that the patient has not used cannabis recently, but it does not rule out a history of cannabis use disorder. In such cases, the provider will rely more heavily on the clinical interview and DSM-5 criteria to make a diagnosis. The clinical interview is a conversation between the patient and the healthcare provider to gather detailed information about the patient’s cannabis use.
Epidemiology of cannabis use disorder
Walukevich-Dienst et al. evaluated an online personalized feedback program aimed at reducing problems related to cannabis use among college students. Although no overall effects on use frequency were found, gender-specific analyses revealed that women receiving the personalized feedback intervention reported significantly fewer cannabis-related problems at one-month follow-up compared to female controls. However, no differences between intervention and control groups were observed for men. This indicates that web-based personalized normative and risk feedback may confer greater benefits for female versus male young adults regarding problematic use indicators.
It’s possible to get addicted to marijuana. Here’s what to know
Graduation rates reflect the caliber and effectiveness of an addiction recovery center. Writing therapy aids in processing emotions, recognizing triggers, and comprehending the causes of addiction. Cannabis poisoning develops when someone consumes high doses of THC in a short period. Schizophrenia is a severe brain disorder characterized by hallucinations, delusions, and distorted thinking. Typically, there will be some form of drug testing to ensure that you are, in fact, abstaining from marijuana use in order to https://noilage.com/blog/treatment-of-substance-use-disorders-overdose/ receive the reward.
How cannabis can affect your health
“Parents need to recognize their use matters,” said Stacey J. T. Hust, Ph.D., professor at WSU and lead author of a recent study. The WSU team surveyed 276 adolescents aged in Washington state about their perceptions of parental cannabis use, closeness to parents, and level of parental monitoring. This new era of high-dose cannabis self-administration is causing teens to go to emergency rooms with seizures, sweaty cyclical vomiting, disorientation, or psychosis. Some call it a cannabis overdose or a “green out,” but unlike an opioid overdose, we do not have a reversal agent like Naloxone. Reasons for visits included cannabis-induced psychosis, intoxication, and unintentional ingestion. Among adults, CUD rates have risen significantly as modern cannabis products (concentrates, edibles) gained market share.
- The signs of marijuana use disorder can be subtle at first, making early detection challenging.
- Understanding these short and long-term effects is crucial for making informed decisions about cannabis use and recognizing when recreational use has developed into a disorder requiring professional intervention.
- For an adult, a divorce, loss of a job or death of a loved one may increase the risk of substance use.
Brain imaging shows reduced connectivity in areas responsible for learning and self-control. CUD can affect both physical health and mental well-being, with effects that tend to build gradually. Regular or heavy use may lead to chronic bronchitis, which is marked by persistent coughing and airway inflammation. Lung function can also be affected, though the risk appears lower than with tobacco.
Treatments for Cannabis Use Disorder
The use of cannabis during pregnancy may have harmful effects on a baby’s health after birth. These clearly show the negative effects of cannabis and why moderation is key for anyone who has the desire to use it. Research on the endocannabinoid system should provide insight into the aetiopathogenesis of CUD, addiction vulnerability and comorbidity with other mental disorders261. Understanding the roles of endogenous and exogenous cannabinoids may increase our knowledge of the developmental trajectories of different addictive substances if THC modifies the dopaminergic reward system to make other substances more rewarding262.
Understanding these risks is essential for making informed decisions about cannabis use and seeking help if needed. MET and CBT are the most widely researched individual psychological treatments for CUD. The aim of MET is to enhance motivation to stop or reduce cannabis use and increase self-efficacy through a combination of psychoeducation, goal setting, and developing plans for change, delivered within an empathic and nonjudgmental environment. However, interventions that combine elements of both MET (to facilitate initial abstinence) and CBT (to support continued abstinence) are increasingly being recommended (116–119). Such suggestions are empirically supported, for example, by the large multisite trials among cannabis smokers with CUD reported by Babor and colleagues (112) and Hoch et al. (120, 121).
One major cause for concern among researchers and clinicians studying cannabis use disorder is the increasing availability and potency of marijuana due to legalization or decriminalization in various US states. Observers are concerned that with high-THC marijuana becoming more accessible to obtain, CUD rates will increase. A 2021 review noted that there was some evidence for an increased risk of cannabis use disorder for adults — though not for adolescents — following medical or recreational legalization. NIDA supports the HEALthy Brain and Child Development (HBCD) Study, which will follow a large population of mothers and their infants from the prenatal period through age 10. This study aims to better understand healthy development and shed light on how early exposure to cannabis and other substances, stressors, and trauma affect brain development and mental health, and how to reduce adverse outcomes. The Timeline Follow-Back (TLFB181) and the five-item Severity of Dependence Scale (SDS182,183) can be used to supplement CUD diagnostic criteria (BOX 3).
Marijuana Statistics in California and the U.S.
Across the country, people who turned to cannabis for help are finding it harder to put down. Investigators noted a paradox in the absence of a pronounced CHS increase before 2020 despite expanding legalization and rising availability of high-potency products. Underdiagnosis or misclassification before broader clinical recognition of CHS was proposed as one possible explanation, alongside increased exposure and heightened diagnostic vigilance during and after the pandemic. Models restricted to visits with primary cyclic vomiting syndrome diagnoses examined the conditional probability of CHS among those cyclic vomiting syndrome visits. Across demographic groups, the probability of CHS among cyclic vomiting syndrome-coded visits increased over time, with especially sharp increases among patients aged 18 to 25 years and 26 to 35 years.
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However, it could be speculated these factors are correlational rather than causal. The DSM-5 also notes that the local ease of access to cannabis is a risk factor, (American Psychiatric Association, 2013) for individuals who are inclined to use cannabis. A drug-tolerant culture as a risk factor for use, as conformity to social cannabis use disorder norms has been established as a powerful influence on behavior.