Key takeaways:
Just like with alcohol, tobacco, and other drugs, it’s possible to get addicted to weed (known as “cannabis use disorder”).
Cannabis use disorder can cause many different symptoms. These include having a hard time quitting or cutting down on your use, having problems in your personal life from using cannabis, and spending a lot of time using cannabis.
If you or a loved one are addicted to cannabis, treatment can help.
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Even though it’s still technically illegal nationwide, cannabis is one of the most commonly used drugs in the U.S. Though some types of cannabis may have benefits, it can also be misused and even lead to addiction — known as cannabis use disorder. In fact, about 3 out of every 10 people who use cannabis have a cannabis use disorder.
So, how do you know if your personal or medicinal cannabis use has gotten out of hand? Let’s take a closer look at what you might notice if you (or a friend or family member) is addicted to weed.
Note: We’ll use the word cannabis throughout this article, because it’s the scientific term for the plant. It’s also known as “weed,” “pot,” and many other slang terms.
What is marijuana and how does it work in the body?
Though people use the words “marijuana” and “cannabis” interchangeably, they don’t mean the same thing. The word “cannabis” refers to the cannabis plant, which contains more than 80 active chemicals called cannabinoids. The word “marijuana” refers to cannabis plants that contain a lot of delta-9-tetrahydrocannabinol (THC) and create the feeling of a high.
Two of the main substances found in cannabis are THC and cannabidiol (CBD). These are known as cannabinoids. There are more than 100 other cannabinoids, but CBD and THC are the ones we know the most about:
THC is well-known for its ability to cause an euphoric “high” feeling. It’s also used medically in some people for pain relief, improved appetite, and reduced nausea and vomiting.
CBD won’t make you high, but it may make some people feel relaxed, sleepy, and less anxious and stressed. Except for seizures, we don’t know much about its potential medical uses. CBD is being researched for many different conditions, including anxiety and depression, chronic pain, and substance use disorders.
Can you get addicted to weed?
Yes. Just like with alcohol, tobacco, and other substances, it’s possible to get addicted to weed. Cannabis or marijuana addiction is also called “marijuana use disorder” or “cannabis use disorder.”
Developing cannabis use disorder is especially likely with long-term and frequent use. People with cannabis use disorder can have many different symptoms that cause problems at work, school, and home (more on these below). It’s also possible to become physically dependent on cannabis, which means that you have withdrawal symptoms when you’re not using it.
How does using cannabis lead to dependence and addiction?
It’s not totally clear. But we do know that using cannabis often and for a long period of time can sometimes cause physical dependence. This may happen because your brain slows production of its own endocannabinoids when it gets used to having cannabis in your system. THC in cannabis also stimulates the body’s “reward system,” which might contribute to its addictive potential.
How addictive is cannabis?
It’s hard to say. There’s some evidence that about 1 in 10 people who use cannabis will develop dependence sometime during their lifetime, which is lower than other substances like alcohol, cocaine, and heroin. Cannabis use disorder is also more likely in some groups, like people who start using cannabis at a young age, or who use it on a regular basis.
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11 signs you might have cannabis use disorder
Cannabis use disorder has many different symptoms. If you have two or more of the following, it’s possible that you could have cannabis use disorder — especially if your cannabis use is causing problems at home, work, or school:
You use a larger amount of cannabis than you meant to, or you use it for a longer period of time than you intended.
It’s hard to cut back or control your cannabis use, even if you want to.
You spend a lot of time trying to get cannabis, use it, or recover from its effects.
You have a strong desire or “craving” to use cannabis.
You don’t fulfill all your daily obligations because you’re using cannabis so often.
You keep using cannabis, even though it’s causing you problems in your social life or with people close to you.
You skip important activities with friends or family, or for your job, because you’re using cannabis.
You keep using cannabis even if it puts you in physical danger.
You keep using cannabis even though you suspect it’s causing physical or mental health problems, or making them worse.
You need to use more cannabis in order to get the right high, because you’ve become tolerant to it.
You have withdrawal symptoms if you’re not using cannabis, like mood changes, sleep problems, headaches, sweating, or an upset stomach.
How is cannabis use disorder diagnosed?
If you’re concerned about cannabis use disorder, talk with a healthcare professional. They can help diagnose you with cannabis addiction, or determine whether your symptoms could be caused by another mental or physical health problem.
Risk factors for cannabis use disorder
There are many factors that affect your risk of developing a substance use disorder. For cannabis, these include:
Frequent cannabis use
Having parents who use cannabis
Having family members with cannabis use disorder
Being male
Starting to use cannabis between ages 18 and 24
Using alcohol, tobacco, or other substances
Having other social problems or health problems
Having depression or anxiety as a child or teenager
Experiencing traumatic events as a child or teenager
Cannabis addiction treatment
Therapy and support groups can be used to treat cannabis use disorder. Examples include:
Motivational enhancement therapy (MET)
Contingency management (CM)
Currently, there are no medications approved by the FDA for cannabis use disorder. But medications and supplements are sometimes used for cannabis withdrawal symptoms. These include:
Zolpidem (Ambien)
Buspirone (Buspar)
Gabapentin (Neurontin)
Where can I go to get help with a cannabis problem?
The Substance Abuse and Mental Health Services Administration (SAMHSA) has a confidential, free, 24/7 information service that anyone can call at 1-800-662-HELP (4357). This is a good place to find options for local treatment facilities, support groups, and community-based organizations, whether or not you have insurance.
Some people may need treatment at an inpatient facility. Meanwhile, others may be able to work with a healthcare professional in an outpatient setting to quit cannabis.
If you have health insurance, you can start by contacting your insurer for a list of covered care providers and facilities that treat cannabis use disorder.
Frequently asked questions
There’s evidence that long-term cannabis use may be linked to memory problems, thinking problems, and a lowered IQ — especially if you use heavily, or start at a young age. Cannabis can also increase your risk for heart attack and stroke.
It’s not clear yet. We need more research — and time — to know for sure.
A 2023 review of 61 different studies on this topic had mixed findings. There was some evidence that legalization did have negative consequences, like more young adult use and more visits to a healthcare professional’s office. But there was also evidence on the other side: that legalization didn’t really change how much people used cannabis. It also wasn’t clear how long term these consequences were.
Since the 1970s, the strength of THC in cannabis has increased — and might even still be increasing. But unfortunately, we just don’t have a lot of research on whether these rising THC levels are linked to cannabis use disorder.
One small study in the U.K. found that people who used high-potency THC products did have increased cannabis use, problems related to cannabis use, and increased likelihood of anxiety disorder. However, these results are from one study only. In the meantime, the SAMHSA cautions that “more THC is likely to lead to higher rates” of cannabis dependence and cannabis use disorder.
There’s evidence that long-term cannabis use may be linked to memory problems, thinking problems, and a lowered IQ — especially if you use heavily, or start at a young age. Cannabis can also increase your risk for heart attack and stroke.
It’s not clear yet. We need more research — and time — to know for sure.
A 2023 review of 61 different studies on this topic had mixed findings. There was some evidence that legalization did have negative consequences, like more young adult use and more visits to a healthcare professional’s office. But there was also evidence on the other side: that legalization didn’t really change how much people used cannabis. It also wasn’t clear how long term these consequences were.
Since the 1970s, the strength of THC in cannabis has increased — and might even still be increasing. But unfortunately, we just don’t have a lot of research on whether these rising THC levels are linked to cannabis use disorder.
One small study in the U.K. found that people who used high-potency THC products did have increased cannabis use, problems related to cannabis use, and increased likelihood of anxiety disorder. However, these results are from one study only. In the meantime, the SAMHSA cautions that “more THC is likely to lead to higher rates” of cannabis dependence and cannabis use disorder.
The bottom line
Just like with other substances, it’s possible to get addicted to weed. Signs of cannabis use disorder include having a hard time cutting back on cannabis use, and using it frequently — even when it’s unsafe or causes problems in your personal life.
If you’re concerned about cannabis use, talk with a healthcare professional. They can help you understand whether you have cannabis use disorder, and guide you toward the best treatment for your needs.
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Keep in mind that cannabis is legal in some states for personal and/or medicinal use, but not in others. Cannabis is still illegal under federal law. Before you use cannabis products, find out the laws in your state.
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