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Reviewed by Psychology Today Staff. Cannabis—referred to by its many names of marijuana, pot, weed, etc—is a psychoactive drug derived from the cannabis plant. Its relationship to mental health is deeply complex, as it can help some people while harming others. As the drug is legalized in more places, particularly in the U. For centuries, people have used marijuana for mental health reasons. Some people benefit from cannabis use, as it helps them feel calm, fall asleep, or relieve their pain, among other benefits. However, other people—especially those who start using cannabis early and those who use heavily and frequently—the drug exacerbates mental health problems or, in some cases, gives rise to new disorders. Yet the connection is complex: Does cannabis cause psychosis? Are people with psychosis more likely to use cannabis? Do genetics underpin both cannabis use and psychosis? Recent studies have been teasing apart these threads and discovering that cannabis elevates the risk of psychosis. Those with a higher risk of developing psychosis include daily cannabis users, people who use cannabis with high concentrations of THC, and those with a family history of psychosis. However, THC concentrations have been increasing and cannabis has been legalized in more places, which may lead rates to rise. Some individuals experience acute psychotic symptoms that are time-linked to ingesting marijuana. This is called cannabis-induced psychosis, and symptoms include delusions, hallucinations, paranoia , dissociation, a sense of grandiosity, and other perceptual and behavioral changes. Psychotic symptoms often resolve within a few days or a week. However, research indicates that a significant percentage of these people later develop a psychotic illness. For those who develop acute psychosis lasting several days, the risk of developing schizophrenia or bipolar disorder is high, at nearly 50 percent. In the DSM-5 , cannabis-induced psychosis falls under the diagnosis of substance-induced psychotic disorder. Cannabinoid hyperemesis syndrome CHS is a syndrome of regular marijuana use that leads to repeated and severe vomiting. The syndrome only affects consistent, heavy marijuana users, and even among that cohort is rare. CHS is treatable but can require several months of abstaining from cannabis. Ironically, marijuana can sometimes treat nausea and vomiting, as in the case of chemotherapy patients. However, cannabis, like other drugs, can have biphasic effects—low doses can produce one effect, while high doses produce the opposite effect. Science shows that cannabis has relaxing and sedative effects, and it can help people fall asleep. Research demonstrates that cannabis shortens the time it takes to fall asleep, both for people with sleep problems and without sleep problems. The effects of cannabis on sleep are due to the chemicals cannabinoids and terpenes. An imbalance in the transmission of dopamine is thought to underlie the symptoms of ADHD. People with ADHD have fewer dopamine transporter proteins in their basal ganglia, leading to a build up of dopamine. THC in marijuana leads to less dopamine in the brain, which may explain why people with ADHD are about three times more likely to use cannabis. They may use marijuana to assist with sleep, improve a depressed mood, or reduce their need for ADHD medication. However, there is currently no empirical support for marijuana as a treatment for ADHD. Cannabis may lead to short-term relief but a heightened risk of dependence and exacerbation of ADHD symptoms in the long-term. There is little research on the safety and effectiveness of cannabis for anxiety, according to a review study. Anecdotally, some people use marijuana to relax when they feel anxious, and it is effective for them. For example, while the drug can reduce anxiety and stress , once the effect wears off, some people experience an increase in anxiety. Furthermore, regular marijuana use can slowly ramp up anxiety between uses. Most people who use marijuana do not become addicted to it. However, the drug can be addictive, especially for frequent, heavy users. Many people smoke cannabis without becoming dependent on it. However, research suggests that 13 percent of people who try cannabis even once by age 14 eventually develop an addiction. Among those who use cannabis regularly, between one-fifth and one-third develop CUD. An addiction to marijuana may be becoming more common, because concentrations of THC have increased substantially over time. Research shows that higher concentrations of THC lead to higher rates of addiction and mental health problems; higher-potency marijuana may be four times more addictive than lower-potency marijuana. A colloquial way to think about the hallmarks of cannabis use disorder are through the three Cs: cravings a strong desire to use the drug , consequences negative consequences of use , and loss of control continuing to use despite the consequences. Tolerance and withdrawal are two key criteria as well. The DSM-5 classifies CUD as a problematic pattern of cannabis use leading to clinically significant impairment or distress, as manifested by at least two of the following, occurring within a month period:. A need for markedly increased amounts of cannabis to achieve intoxication or desired effect. Markedly diminished effect with continued use of the same amount of cannabis. Withdrawal, as manifested by either of the following: The characteristic withdrawal syndrome for cannabis; cannabis is taken to relieve or avoid withdrawal symptoms. For more, see the diagnosis dictionary. Withdrawal refers to physical symptoms that result from abstaining from or reducing the amount of a drug someone has become dependent on. For cannabis, those symptoms can include aggression , anger, irritability, anxiety, insomnia , depression , restlessness, headaches, vomiting, and abdominal pain. A meta-analysis shows that among regular or dependent cannabis users, 47 percent experience withdrawal symptoms. Withdrawal symptoms are not dangerous or deadly, but they should be addressed by a medical professional. CBT involves identifying triggers for cannabis use and developing coping skills to prevent triggers from leading to use. MET involves a therapist employing empathy and reflective listening to guide patients to change their behavior. CM offers incentives such as cash or vouchers to positively reinforce abstinence from cannabis. A meta-analysis linked CBT and MET to a one-quarter to one-third reduction in cannabis use over an average of four months. Combinations of these therapy types may be even more effective. Cannabis is comprised of two components: tetrahydrocannabinol THC , the psychoactive component, and cannabidiol CBD which is not psychoactive. Cannabis is surprisingly diverse—it is categorized as a depressant, a stimulant , and a hallucinogen due to the wide variety of effects it can produce. It is not classified as an opiate. Cannabis can slow brain functions and lead to relaxation and sleepiness, as depressants do, but it can also speed up brain functions and lead to anxiety or paranoia, like stimulants, and lead to altered perceptual experiences, like hallucinogens. A recent neuroimaging study examined the effects of THC in healthy young adults with a limited history of cannabis use. Subjects who received THC demonstrated greater connectivity between two regions in the reward system—the right nucleus accumbens and the medial prefrontal cortex. The higher subjects rated themselves, the greater the connectivity. The THC in cannabis may stimulate cannabinoid receptors on GABA neurons, turning off the continuous inhibition of dopamine and leaving users feeling a euphoric high. New research reveals why we need to let go of the 'lazy stoner' stereotype. Adolescents are often victimized and even die from counterfeit drugs that are really fentanyl. Some cannabis entrepreneurs slipped through a legal loophole to market delta-8 THC hemp products to children and adolescents. The popularization of e-cigarettes by Juul greatly increased nicotine addiction among youth. New research shows that many soon also used tobacco cigarettes and marijuana. As marijuana use increases in the U. Shockingly, increasing numbers of people are dying from smoking drugs than injecting them. Opioid addicts were demonized, jailed, and seen as hopeless. Clinician-scientists like 'Dr Bob' DuPont showed that people can be successfully treated. Teenage nicotine and cannabis vaping is much more common and risky than adolescents and maybe their parents realize. Individuals looking for an alternative to CBD and are burdened by feelings of stress or anxiety may find that CBG provides similar relief without significant side effects. Alcohol-free cocktails and beer, along with cannabis-infused beverages, are gaining users. A diagnosis often brings relief, but it can also come with as many questions as answers. What's the relationship between cannabis and psychosis? Created with Sketch. What is cannabis-induced psychosis? What is cannabinoid hyperemesis syndrome? How does cannabis affect sleep? How does cannabis affect people with ADHD? How does cannabis affect anxiety? Is cannabis addictive? What are the signs and symptoms of cannabis use disorder? What are withdrawal symptoms from marijuana? How is cannabis addiction treated? Is marijuana a depressant? What happens in the brain during a cannabis high? Essential Reads. The approval of marijuana for medical use does benefit those for whom it is intended. When states legalize medical and recreational cannabis, fewer prescriptions for anxiety are filled, but more for depression and psychosis. Here's how to make sense of this. Recent studies claim that alcohol has no health benefits. What about marijuana? The internet has many articles and recipes for edible breakfast ideas, as well as songs that romanticize cannabis use as a calming way to start the day. Debunking a Key Myth About Marijuana. Teens and Counterfeit Death Pills. Cannabis, Morality, and the Law. Targeting Teens to Vape. Just Say No To Alcohol? Back Psychology Today. Back Find a Therapist. Back Get Help. Mental Health. Passive Aggression Personality Shyness. Personal Growth. Low Sexual Desire Relationships Sex. Family Life. Child Development Parenting. View Help Index. Do I Need Help? Talk to Someone. Back Magazine. September Back Today. Trending Topics in Singapore. See All.

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