Cannabis use disorder is a mental health condition in which you have a problematic pattern of cannabis/marijuana use that causes distress and/or impairs your life. It’s a type of substance use disorder (SUD).

Cannabis refers to all products that come from the Cannabis sativa plant. This includes its dried flowers, leaves, stems and seeds. The plant contains over 500 chemical substances. Cannabidiol (CBD) is one of these chemicals.

Marijuana is parts of or products from the Cannabis sativa plant that contain substantial amounts of tetrahydrocannabinol (THC) — the chemical that makes you feel “high.” Marijuana is cannabis, but not all cannabis is marijuana. Cannabis use disorder (CUD) mainly involves THC-containing substances (marijuana).

CUD exists on a spectrum and may be mild, moderate or severe. It typically involves an overpowering desire to use cannabis, increased tolerance to the cannabis and/or withdrawal symptoms when you stop taking it.

CUD can significantly impact your health, relationships and overall quality of life. It’s crucial to seek help as soon as you develop signs of it.

Cannabis use disorder involves a pattern of problematic cannabis use. Common signs include:

• Using more cannabis than intended, for longer periods.

• Strong cravings and failed attempts to cut back.

• Spending a lot of time on cannabis-related activities.

• Neglecting work, school, or home responsibilities.

• Continuing use despite personal or relationship problems.

• Giving up hobbies or social activities.

• Using in risky situations (e.g., driving).

• Developing tolerance or withdrawal symptoms.

• Mental symptoms: confusion, memory issues, mood swings, hallucinations, or isolation.

• Becoming secretive or neglecting self-care.

Cannabis use disorder often begins with experimentation, which can lead to heavier use. Factors contributing include:

• THC’s impact on brain chemistry.

• Genetics and family history.

• Mental health issues.

• Easy access to cannabis.

Early medical help is crucial for recovery.

There are no FDA-approved medications for CUD yet, but several effective treatment options are available:

1. Cognitive Behavioral Therapy (CBT)

Helps identify and change negative thought patterns and behaviors related to cannabis use.

2. Motivational Enhancement Therapy (MET)

Boosts motivation to quit by helping users set goals and build commitment to change.

3. Contingency Management

Offers rewards for staying cannabis-free, often used in rehab programs.

4. Support Groups & Counseling

Group therapy or peer support (like Marijuana Anonymous) helps reduce isolation and build coping skills.

5. Lifestyle Changes

Involves adopting healthier routines, avoiding triggers, and building a support network.

6. Treatment for Co-Occurring Disorders

Addressing anxiety, depression, or other mental health conditions alongside CUD is often essential.

Note: Early intervention increases the chances of success.