I Think I’m Going Through Marijuana Withdrawal

Expert tips to manage marijuana withdrawal like a pro. Discover strategies, support resources, and treatment options for a smooth journey.

July 3, 2024

Understanding Cannabis Withdrawal

When individuals abruptly stop or significantly reduce their cannabis consumption, they may experience a set of symptoms known as cannabis withdrawal. This phenomenon is well-characterized and occurs in approximately half of regular and dependent cannabis users. Understanding the prevalence and symptoms of cannabis withdrawal is crucial for those who may be going through this experience.

Prevalence of Cannabis Withdrawal

A 2020 study of over 23,000 participants revealed that the prevalence of cannabis withdrawal syndrome is about 47%. The prevalence of withdrawal symptoms tends to be higher in individuals with a history of daily cannabis use, concurrent cannabis and tobacco use, and other substance use disorders. In outpatient samples, the prevalence increases to 54%, and in inpatient samples, it reaches 87% [1]. These statistics highlight the significant number of individuals who may experience cannabis withdrawal.

Symptoms of Cannabis Withdrawal

Cannabis withdrawal symptoms typically appear within 24 to 72 hours after discontinuing or reducing heavy, prolonged cannabis consumption. The symptoms commonly peak between days 2 and 6, with some lasting up to three weeks or more in heavy cannabis users [1].

The most common features of cannabis withdrawal include:

  • Anxiety
  • Irritability
  • Anger or aggression
  • Disturbed sleep/dreaming
  • Depressed mood
  • Loss of appetite

It's important to note that while these symptoms are frequently observed, individual experiences may vary. Rarely, cases of psychosis induced by cannabis withdrawal have been reported. If you are experiencing severe or distressing symptoms, it is advisable to seek professional help.

Understanding the prevalence and symptoms of cannabis withdrawal provides insight into the experiences individuals may face when discontinuing or reducing cannabis use. Recognizing these symptoms can help individuals navigate the process more effectively and seek appropriate support if needed.

Severity of Cannabis Withdrawal

Cannabis withdrawal, although not as severe as withdrawal from substances like opioids, alcohol, cocaine, and heroin, can still present physical and psychological symptoms as the body adjusts to the absence of THC, the primary psychoactive ingredient in cannabis [2]. It's important to understand the comparison to other substance withdrawals and the impact of THC on the body.

Comparison to Other Substance Withdrawals

While cannabis withdrawal symptoms may not reach the same level of severity as withdrawals from other substances, such as opioids or alcohol, they can still be significant. Cannabis withdrawal typically manifests when heavy, prolonged consumption of the substance is interrupted or significantly reduced [3]. Withdrawal symptoms may include physical symptoms like sympathetic autonomic hyperactivity, stomach pain, tremors, sweating, fever, and headaches, as well as psychological symptoms like irritability, anxiety, sleep disturbance, and reduced appetite.

It's essential to note that while cannabis withdrawal may not be as severe as withdrawal from certain substances, it can still have a significant impact on individuals and their overall well-being. It's important for individuals experiencing cannabis withdrawal to seek support and appropriate management strategies to navigate this period effectively.

Impact of THC on the Body

THC, the primary psychoactive compound in cannabis, plays a crucial role in the development of cannabis withdrawal symptoms. When individuals regularly consume cannabis, the body develops a tolerance to THC, and the brain adjusts to its presence. However, when cannabis use is discontinued or significantly reduced, the body needs to readjust to the absence of THC.

THC interacts with the endocannabinoid system in the body, which helps regulate various physiological and cognitive processes. The sudden absence of THC can lead to imbalances in this system, resulting in the manifestation of withdrawal symptoms. These symptoms can vary from person to person, but they generally include physical discomfort and psychological distress [2].

It's worth noting that cases of psychosis induced by cannabis withdrawal are rare. However, it's important to recognize the potential impact of THC withdrawal on mental health, as some individuals may experience increased anxiety, irritability, and other psychological symptoms.

Understanding the severity of cannabis withdrawal and its comparison to other substance withdrawals can help individuals navigate this process with greater awareness. By recognizing the impact of THC on the body and seeking appropriate support, individuals can effectively manage and overcome cannabis withdrawal symptoms.

Managing Cannabis Withdrawal

Cannabis withdrawal can be challenging, but there are several strategies and approaches available to help individuals manage the symptoms effectively. These include medications for withdrawal symptoms and therapeutic approaches.

Medications for Withdrawal Symptoms

While more research is needed in this area, certain medications have shown promise in alleviating withdrawal symptoms associated with cannabis dependency. Here are some examples:

Medication Purposes

  • Buspirone: An anxiolytic that has been effective in reducing cannabis craving, use, as well as irritability and depression in individuals dependent on cannabis.
  • Lithium: A mood stabilizer that has shown promise in alleviating withdrawal symptoms in cannabis-dependent individuals based on small open-label clinical studies.
  • Dronabinol: An oral synthetic THC that has demonstrated success in managing withdrawal symptoms in cannabis-dependent individuals in both laboratory studies and outpatient trials.
  • FAAH Inhibitors: Recent pre-clinical studies indicate that FAAH inhibitors, like URB597, may present a potential treatment approach for cannabis withdrawal by increasing brain levels of endocannabinoid neurotransmitters.

It's important to note that medication should always be prescribed and monitored by a qualified healthcare professional experienced in addiction medicine. Individual circumstances and needs should be taken into account when considering medication options.

Therapeutic Approaches

In addition to medications, various therapeutic approaches can be beneficial in managing cannabis withdrawal. While evidence may be limited, the following strategies are commonly employed in clinical practice:

  • Psychoeducation: Providing information on the course and symptoms of withdrawal can help individuals better understand and cope with the process.
  • Coping with craving exercises: Learning techniques to manage cravings can be valuable in minimizing relapse and maintaining abstinence.
  • Nutrition, hydration, and physical exercise: Taking care of physical well-being through a balanced diet, staying hydrated, and engaging in regular exercise can support overall recovery.
  • Sleep hygiene: Establishing good sleep habits, such as maintaining a consistent sleep schedule and creating a relaxing bedtime routine, can improve sleep quality during withdrawal.
  • Supportive counseling: Individual or group counseling can provide a safe space to explore emotions, develop coping strategies, and receive support from others going through similar experiences.
  • Behavioral therapies: Approaches such as cognitive-behavioral therapy (CBT), motivational enhancement therapy (MET), and contingency management (CM) have shown effectiveness in treating substance use disorders, including cannabis dependency.

These therapeutic approaches aim to address the psychological and behavioral aspects of cannabis withdrawal, helping individuals navigate the challenges they may face during the process.

Managing cannabis withdrawal requires personalized care and support. It's crucial to consult with healthcare professionals, addiction specialists, or counselors who can provide guidance tailored to each individual's specific needs and circumstances.

Long-Term Effects of Cannabis Use

While marijuana can provide benefits for certain medical conditions, it is important to be aware of the potential risks associated with long-term cannabis use. Two significant areas of concern are the risks of developing cannabis use disorder and the connection between cannabis use and mental health.

Risks of Cannabis Use Disorder

Cannabis use disorder refers to a condition where individuals continue to use cannabis despite experiencing negative effects on their social functioning and physical or mental health. According to Healthline, individuals with cannabis use disorder often experience more severe and prolonged withdrawal symptoms compared to those without the disorder.

Studies have shown that cannabis use disorder can have a significant impact on an individual's daily life and overall well-being. It can lead to impaired cognitive function, reduced motivation, difficulty concentrating, and decreased productivity. Additionally, the risk of developing other substance use disorders may increase for individuals with cannabis use disorder.

Connection to Mental Health

The relationship between cannabis use and mental health is complex. While some individuals may use cannabis to alleviate symptoms of mental health conditions, such as anxiety or depression, it's important to recognize that cannabis use can also have adverse effects on mental health.

According to the National Center for Biotechnology Information (NCBI), cannabis use is considered a well-recognized risk factor for psychotic symptoms. There appears to be a dose-response relationship between the intensity and duration of cannabis use and the risk of psychosis. Research suggests that heavy and prolonged cannabis use, especially during adolescence, may increase the risk of developing psychotic disorders such as schizophrenia.

It is worth noting that cannabis withdrawal symptoms can include both physical and psychological effects. While they may not be as severe as withdrawal symptoms from other substances, such as opioids or alcohol, they can still be significant. In some cases, individuals may experience brief psychotic episodes during cannabis withdrawal.

Understanding the potential long-term effects of cannabis use is essential for making informed decisions about its use. It is important to weigh the potential benefits against the associated risks, especially for individuals with a history of mental health conditions or those at higher risk for developing cannabis use disorder. If you have concerns about your cannabis use or its impact on your mental health, it is recommended to seek professional help and support resources.

Seeking Help for Cannabis Withdrawal

If you find yourself experiencing marijuana withdrawal and need support, there are addiction treatment options and support resources available to assist you during this challenging time.

Addiction Treatment Options

Professional addiction treatment that includes evidence-based therapies can help individuals struggling with marijuana addiction to get sober and remain in long-term recovery. Treatment programs may involve a combination of approaches to address the physical and psychological aspects of addiction. One common approach is medical detox, which is often the first step in the recovery journey. Medical detox helps manage withdrawal symptoms and ensures a safe and comfortable transition to a rehabilitation program where personalized treatment plans, therapy, and support are provided to address substance use disorders and any co-occurring conditions.

During addiction treatment, prescription anti-anxiety medications may be used to ease withdrawal symptoms and address any underlying conditions or co-occurring issues. It's important to work with healthcare professionals who specialize in addiction treatment to determine the most appropriate course of action for your specific needs.

Support Resources

For individuals seeking help with substance use, including marijuana addiction, there are support resources available. These resources aim to provide guidance, information, and assistance throughout the recovery process. While direct links to private clinics or for-profit organizations may not be provided, there are government-backed resources to help individuals find the support they need.

In Canada, Health Canada offers a range of services for individuals in need of help with substance use. Their website provides resources and information, including overdose prevention resources and quit smoking services. The resources include various contact options such as phone numbers, text services, online support groups, and email contacts, allowing individuals to choose the most suitable method of reaching out for assistance.

Remember, reaching out for help is a courageous step towards recovery. Whether it's through addiction treatment programs, support groups, or helplines, these resources are designed to provide the necessary support and guidance during your journey to sobriety.

Public Health Perspective

Taking a public health perspective on cannabis use and withdrawal is crucial in understanding the broader impact and potential risks associated with the drug. This section will provide statistics on cannabis use and shed light on the risks of dependency.

Statistics on Cannabis Use

Cannabis use is prevalent globally, and the United States is no exception. In 2020, over 49 million people aged 12 or older in the U.S. reported using marijuana within the past year, making it the most commonly used federally illegal substance in the country. Among young adults, the numbers are significant as well. In 2018, 11.8 million young adults in the U.S. admitted to using marijuana in the past year, and in 2019, 11.8% of 8th-grade students and 28.8% of 10th-grade students admitted to marijuana use.

It's important to note that cannabis use can vary across regions and demographics, but these statistics provide an overview of the widespread nature of marijuana use in the United States.

Risks of Dependency

While not everyone who uses cannabis will develop a dependency, it is estimated that about one in 10 marijuana users will develop a dependency on the drug. This risk is particularly higher among young people who quickly adjust to the euphoric feeling induced by the psychoactive component of cannabis, tetrahydrocannabinol (THC) [7].

Dependency on cannabis can have various consequences, including impaired cognitive function, reduced educational and occupational attainment, and negative effects on mental health. Additionally, cannabis use is recognized as a risk factor for psychotic symptoms. There is a dose-response relationship between the intensity and duration of cannabis use and the risk of psychosis. In the European Union countries, around 1% of adults are daily or almost daily cannabis users, with the majority being under 35 years old.

It is important to be aware of the potential risks associated with cannabis use and to approach its consumption with caution, especially for individuals who may be more susceptible to dependency or other adverse effects.

Taking a public health perspective allows us to assess the broader impact of cannabis use on individuals and society as a whole. By understanding the statistics and risks associated with cannabis use, we can develop informed strategies for prevention, treatment, and support for those experiencing cannabis withdrawal or dependency.


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