{"formatVersion":"1.1","id":"https://www.mentalhealth.com/library/cannabis-use-disorder","path":"/library/cannabis-use-disorder","url":"https://www.mentalhealth.com/library/cannabis-use-disorder","title":"Cannabis Use Disorder","family":"Library detail","description":"Learn how cannabis use disorder affects mental health, and how early intervention and treatment can support lasting recovery.","language":"en-US","access":{"audience":"custom-shared-preview","indexable":true},"provenance":{"sourceUrl":"https://www.mentalhealth.com/library/cannabis-use-disorder","wordpressId":"149","contentCompleteness":"complete","dateScope":"original-source"},"authors":[{"@type":"Person","@id":"https://www.mentalhealth.com/people/areesha-hosmer#person","name":"Areesha Hosmer","url":"https://www.mentalhealth.com/people/areesha-hosmer"}],"reviewer":{"@type":"Person","@id":"https://www.mentalhealth.com/people/holly-schiff#person","name":"Holly Schiff, Psy.D.","url":"https://www.mentalhealth.com/people/holly-schiff"},"dates":{"datePublished":"2025-08-08T08:55:09Z","dateModified":"2026-07-10T08:58:01Z","lastReviewed":"2025-08-08"},"content":{"html":"<nav class=\"breadcrumbs\" aria-label=\"Breadcrumb\"><ol><li><a href=\"https://www.mentalhealth.com/\">Home</a></li><li><a href=\"https://www.mentalhealth.com/library\">Library</a></li><li><a href=\"https://www.mentalhealth.com/library/addiction\">Addiction</a></li><li><span aria-current=\"page\">Cannabis Use Disorder</span></li></ol></nav><div class=\"article-page article-standard\" data-library-standard><div class=\"article-main-grid\"><header class=\"article-heading\"><h1>Cannabis Use Disorder</h1><p class=\"article-inline-credits\"><span>Written by <a class=\"article-credit-person\" href=\"https://www.mentalhealth.com/people/areesha-hosmer\"><img src=\"https://www.mentalhealth.com/assets/wordpress/12169.jpg\" alt=\"\" width=\"22\" height=\"22\" loading=\"lazy\">Areesha Hosmer</a></span><span>Medically reviewed by <a class=\"article-credit-person\" href=\"https://www.mentalhealth.com/people/holly-schiff\"><img src=\"https://www.mentalhealth.com/assets/wordpress/11503.jpg\" alt=\"\" width=\"22\" height=\"22\" loading=\"lazy\">Holly Schiff, Psy.D.</a></span></p><div class=\"article-dates\"><span>Published on <time datetime=\"2025-08-08T08:55:09Z\">August 8, 2025</time></span><span aria-hidden=\"true\"> · </span><span>Updated on <time datetime=\"2026-07-10T08:58:01Z\">July 10, 2026</time></span></div></header><div class=\"article-jumpbar\"></div><div class=\"article-layout\"><div class=\"article-reading\"><article class=\"prose\" id=\"article-content\"><div class=\"article-intro\" data-source-field=\"hero\"><p>Cannabis use disorder (CUD), or marijuana addiction, occurs when an individual continues to use cannabis despite experiencing clinically significant impairment. This condition extends beyond frequent use; it may affect <a href=\"https://www.mentalhealth.com/library/mental-health\" class=\"article-inline-link\">mental health</a>, damage relationships, and impact physical well-being.</p><p>Early recognition supports more effective treatment and <a href=\"https://www.mentalhealth.com/library/recovery-from-addiction-social-support\" class=\"article-inline-link\">long-term recovery</a>. Increased awareness of signs, risk factors, and treatment options plays a critical role in improving overall health and restoring balance in daily life.</p></div><figure class=\"article-feature\"><img src=\"https://www.mentalhealth.com/assets/qa246/editorial-17238.webp\" alt=\"A glass jar holds cannabis leaves.\" width=\"1000\" height=\"666\" loading=\"eager\" decoding=\"async\"></figure><section class=\"article-takeaways\" aria-labelledby=\"key-takeaways\"><h2 id=\"key-takeaways\">Key takeaways</h2><ul><li>Cannabis use disorder involves continued use despite impairment or harm to daily life.</li><li>Tolerance, difficulty controlling use, and effects on relationships or mental health can signal a problematic pattern.</li><li>Behavioral treatments such as cognitive behavioral therapy and motivational enhancement therapy can support recovery.</li></ul></section><h2 id=\"understanding-the-condition\">Understanding the Condition</h2><p>Cannabis use disorder was first introduced in the <a href=\"https://www.mentalhealth.com/library/dsm-5\" class=\"article-inline-link\">Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5)</a>, to provide a more accurate, evidence-based framework for diagnosing problematic cannabis use. </p><p>The previous DSM edition separated problematic use into two different disorders: cannabis abuse and cannabis dependence <a href=\"#diagnostic-statistical-manual-mental-disorders-5th-ed-text-rev\" aria-label=\"Reference 1\" class=\"article-inline-link article-citation\"><sup>[1]</sup></a>. This distinction shows that individuals may be harmed by marijuana use even without full <a href=\"https://www.mentalhealth.com/library/addiction\" class=\"article-inline-link\">addiction</a>. </p><p>An estimated 10% of the nearly 193 million cannabis users worldwide are affected by CUD. While it may not be as severe as other <a href=\"https://www.mentalhealth.com/library/substance-use-disorders\" class=\"article-inline-link\">substance use disorders</a>, many individuals still seek treatment due to the widespread availability of cannabis <a href=\"#cannabis-use-cannabis-use-disorder\" aria-label=\"Reference 2\" class=\"article-inline-link article-citation\"><sup>[2]</sup></a>. The high user base contributes to a significant number of treatment cases, despite the condition’s comparatively lower health burden. </p><h3 id=\"shifting-cultural-perceptions\">Shifting Cultural Perceptions</h3><p>Cannabis is the most commonly used illicit substance in the United States after <a href=\"https://www.mentalhealth.com/library/alcohol-use-disorder\" class=\"article-inline-link\">alcohol</a> and <a href=\"https://www.mentalhealth.com/library/risks-associated-with-other-tobacco-products\" class=\"article-inline-link\">tobacco</a>. In the past decade, its use has increased from 4% to 9.5% <a href=\"#cannabis-addiction-brain-review\" aria-label=\"Reference 3\" class=\"article-inline-link article-citation\"><sup>[3]</sup></a>. </p><p>Changing attitudes, especially among adolescents and adults, have contributed to intergenerational patterns, with children of early-onset users more likely to start using cannabis at a younger age.</p><p>Public concern about cannabis risks has declined sharply, contributing to increased consumption <a href=\"#cannabis-addiction-brain-review\" aria-label=\"Reference 3\" class=\"article-inline-link article-citation\"><sup>[3]</sup></a>. Despite growing use, the addictive potential of cannabis remains underestimated. Yet CUD shares core features with other substance use disorders, highlighting the need for greater clinical attention and public education.</p><h2 id=\"recognizing-signs-and-symptoms\">Recognizing Signs and Symptoms</h2><p>CUD involves a pattern of problematic cannabis use that affects relationships, daily functioning, and <a href=\"https://www.mentalhealth.com/library/emotional-health\" class=\"article-inline-link\">emotional regulation</a>. Once an individual develops a tolerance, they may require increasing amounts to achieve intoxication. </p><p>The signs of dependence generally appear over 12 months, although a diagnosis may be made earlier in cases of daily or near-daily use for at least three months <a href=\"#icd-11-mortality-morbidity-statistics-code-1129015467\" aria-label=\"Reference 4\" class=\"article-inline-link article-citation\"><sup>[4]</sup></a>.</p><p>Common signs and symptoms of <a href=\"https://www.mentalhealth.com/library/diagnostic-criteria-for-substance-use-disorders\" class=\"article-inline-link\">problematic cannabis use</a> include <a href=\"#icd-11-mortality-morbidity-statistics-code-1129015467\" aria-label=\"Reference 4\" class=\"article-inline-link article-citation\"><sup>[4]</sup></a>:</p><ul class=\"wp-block-list\">\n<li>Using cannabis in larger amounts or for longer than intended</li>\n<li>Making repeated, unsuccessful attempts to cut down or control use</li>\n<li>Spending significant time obtaining, using, or recovering from cannabis</li>\n<li>Experiencing cravings or intense urges to use</li>\n<li>Continued use despite problems at work, school, or in relationships</li>\n<li>Developing tolerance or experiencing withdrawal symptoms when not using</li>\n</ul><p>Other signs of cannabis use disorder that may be noticeable to others include an unkempt appearance, withdrawal from <a href=\"https://www.mentalhealth.com/library/social-health\" class=\"article-inline-link\">social connections</a>, and clear changes in mood or behavior. A person may become <a href=\"https://www.mentalhealth.com/library/symptoms-of-alcohol-substance-abuse\" class=\"article-inline-link\">defensive or hostile</a> when asked about their use, often denying it or acting secretively to conceal their habits <a href=\"#cannabis-use-disorder\" aria-label=\"Reference 5\" class=\"article-inline-link article-citation\"><sup>[5]</sup></a>.</p><p>Recognizing these patterns, along with understanding the associated risk factors, can help in making informed decisions about cannabis use and <a href=\"https://www.mentalhealth.com/library/diagnostic-criteria-for-substance-use-disorders\" class=\"article-inline-link\">identifying when support may be needed</a>.</p><h2 id=\"risk-factors-for-the-disorder\">Risk Factors for the Disorder</h2><p>Cannabis use often progresses in stages, starting with experimental or occasional use, moving to heavy use, and eventually developing into a substance use disorder. This progression involves several interconnected risk factors that increase the likelihood of developing CUD, including the following <a href=\"#cannabis-use-disorder\" aria-label=\"Reference 5\" class=\"article-inline-link article-citation\"><sup>[5]</sup></a>:</p><ul class=\"wp-block-list\">\n<li><strong>Brain Chemistry: </strong>The active compound THC affects brain chemistry by overstimulating the brain’s reward system. THC causes unusually high dopamine levels, shifting motivation away from natural rewards like relationships or food. Over time, this disrupts normal brain function.</li>\n<li><strong><a href=\"https://www.mentalhealth.com/library/does-addiction-run-in-the-family-genes-and-home-influences\" class=\"article-inline-link\">Genetic Influences</a>: </strong>Genetic factors account for 40 to 60% of a person’s vulnerability to substance use disorders, and having a biological parent or sibling with a substance use disorder also raises this risk. </li>\n<li><strong><a href=\"https://www.mentalhealth.com/library/mental-health-conditions\" class=\"article-inline-link\">Mental Health Conditions</a>: </strong>Conditions such as <a href=\"https://www.mentalhealth.com/library/depression\" class=\"article-inline-link\">depression</a> or <a href=\"https://www.mentalhealth.com/library/anxiety\" class=\"article-inline-link\">anxiety</a> may increase cannabis use as a form of self-medication, further reinforcing CUD risk. This overlapping relationship between mental health and cannabis use complicates both diagnosis and treatment.</li>\n<li><strong><a href=\"https://www.mentalhealth.com/library/social-determinants\" class=\"article-inline-link\">Social Risk Factors</a>:</strong> Access to cannabis, exposure through household members or peers, and the legal availability of cannabis products all raise risk. Using higher-potency cannabis or using it more frequently also contributes to dependence.</li>\n<li><strong>Demographic Risk Factors: </strong>Starting cannabis use before age 18 makes a person more likely to develop CUD, and so does being male. Other risk factors include parental substance use, poor school performance, oppositional behaviors, alcohol or nicotine use, as well as a history of childhood trauma.</li>\n</ul><h2 id=\"physical-health-consequences\">Physical Health Consequences</h2><p>CUD can affect both physical health and <a href=\"https://www.mentalhealth.com/library/emotional-health\" class=\"article-inline-link\">mental well-being</a>, 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.</p><p>Cannabis use increases the likelihood of vehicle accidents because even at low doses, THC impairs coordination, reaction time, and judgment. Further, THC interacts with receptors in the walls of blood vessels, affecting how they expand or contract. </p><p>This can lead to changes in blood pressure and heart rate, which may increase the risk of heart-related issues, especially in people with existing <a href=\"https://www.mentalhealth.com/library/cardiovascular-health\" class=\"article-inline-link\">cardiovascular vulnerabilities</a> <a href=\"#adverse-health-effects-marijuana-use\" aria-label=\"Reference 6\" class=\"article-inline-link article-citation\"><sup>[6]</sup></a>.</p><h3 id=\"mental-health-effects\">Mental Health Effects</h3><p>Cannabis use disorder also affects mental health in ways that may not always be visible right away. Regular use is linked with increased risk of <a href=\"https://www.mentalhealth.com/blog/marijuana-makes-it-worse-revisited\" class=\"article-inline-link\">anxiety, depression, or psychosis</a>, particularly in people already vulnerable to these conditions.</p><p><a href=\"https://www.mentalhealth.com/library/dangers-of-using-marijuana-in-adolescence\" class=\"article-inline-link\">Adolescents are especially at risk</a>, as early cannabis use can disrupt brain development and cause lasting difficulties with memory or focus. Brain imaging shows reduced connectivity in areas responsible for learning and self-control. </p><p>For those with a genetic predisposition, cannabis use may trigger psychotic disorders like <a href=\"https://www.mentalhealth.com/library/schizophrenia\" class=\"article-inline-link\">schizophrenia</a> earlier than expected, making it fundamental to recognize and address early patterns of use <a href=\"#adverse-health-effects-marijuana-use\" aria-label=\"Reference 6\" class=\"article-inline-link article-citation\"><sup>[6]</sup></a>.</p><h2 id=\"treatment-of-cannabis-use-disorder\">Treatment of Cannabis Use Disorder</h2><p>A lot of evidence suggests that behavioral interventions are successful in helping people who have CUD <a href=\"#marijuana-dependence-treatment\" aria-label=\"Reference 7\" class=\"article-inline-link article-citation\"><sup>[7]</sup></a>. <a href=\"https://www.mentalhealth.com/library/cognitive-behavioral-therapy\" class=\"article-inline-link\">Cognitive behavioral therapy (CBT)</a> and motivational enhancement therapy (MET) each offer structured methods that support reduced cannabis use and help manage associated challenges.</p><p>CBT helps people develop coping strategies and change patterns linked to their cannabis use, while MET strengthens motivation to quit by helping them to resolve ambivalence about changing their behaviors.While these interventions can reduce cannabis use and improve related functioning, sustained abstinence is less common than outcomes for other substance use disorders.</p><p>Many people experience periods of reduced use or improvement rather than complete and lasting cessation, unlike with disorders linked to alcohol or tobacco use. </p><p>As with other substance use disorders, <a href=\"https://www.mentalhealth.com/library/recovery-from-addiction-social-support\" class=\"article-inline-link\">social support from family</a>, friends, and structured <a href=\"https://www.mentalhealth.com/library/support-groups\" class=\"article-inline-link\">recovery groups</a> can improve outcomes by reinforcing motivation and providing accountability. As of now, no medications are approved specifically for treating cannabis use disorder, though ongoing research continues to explore <a href=\"https://www.mentalhealth.com/library/cannabis-and-antidepressants\" class=\"article-inline-link\">pharmacological options</a> <a href=\"#marijuana-dependence-treatment\" aria-label=\"Reference 7\" class=\"article-inline-link article-citation\"><sup>[7]</sup></a>.</p><h2 id=\"the-path-to-recovery\">The Path to Recovery</h2><p>Cannabis use disorder is a real and manageable <a href=\"https://www.mentalhealth.com/library/mental-health-conditions\" class=\"article-inline-link\">mental health condition</a>, and although it can affect both physical and mental health, <a href=\"https://www.mentalhealth.com/library/recovery\" class=\"article-inline-link\">recovery is possible</a> with the right approach. As awareness grows, more people are seeking help without feeling judged or dismissed. </p><p>Dedicated treatment options have expanded, making support easier to access and more tailored to those affected. <a href=\"https://www.mentalhealth.com/library/behavioral-therapies-for-anxiety\" class=\"article-inline-link\">Behavioral therapies</a> continue to improve as understanding of what helps people make lasting changes deepens. </p><p>At the same time, research into how cannabis affects the brain offers hope for future medical treatments. Early intervention programs are also helping by reaching people before the disorder becomes more severe. </p><p>Alongside treatment, social support from loved ones and <a href=\"https://www.mentalhealth.com/rehab\" class=\"article-inline-link\">recovery communities</a> helps strengthen progress and reduce the stigma that often prevents people from seeking help. Together, these advances make recovery feel not only possible but within reach for anyone ready to take that first step.</p></article><div class=\"article-endmatter\"><section class=\"article-sources\" id=\"references\" data-source-references=\"\" data-reference-list=\"\" data-reference-style=\"author-date-numbered\"><h2 id=\"references-2\">References</h2><ol>\n    <li id=\"diagnostic-statistical-manual-mental-disorders-5th-ed-text-rev\" aria-level=\"1\" data-reference-number=\"1\"><span>American Psychiatric Association. (2022). Diagnostic and statistical manual of mental disorders (5th ed., text rev.). Washington, DC: American Psychiatric Association. </span> <a href=\"https://psychiatryonline.org/doi/book/10.1176/appi.books.9780890425596\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">PsychiatryOnline</a></li>\n    <li id=\"cannabis-use-cannabis-use-disorder\" aria-level=\"1\" data-reference-number=\"2\"><span>Connor, J. P., Stjepanović, D., Le Foll, B., Hoch, E., Budney, A. J., &amp; Hall, W. D. (2021). Cannabis use and cannabis use disorder. Nature Reviews Disease Primers, 7(1), 16. </span> <a href=\"https://doi.org/10.1038/s41572-021-00247-4\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">Cannabis use and cannabis use disorder</a></li>\n    <li id=\"cannabis-addiction-brain-review\" aria-level=\"1\" data-reference-number=\"3\"><span>Zehra, A., Burns, J., Liu, C. K., Manza, P., Wiers, C. E., Volkow, N. D., &amp; Wang, G. J. (2018). Cannabis addiction and the brain: A review. Journal of Neuroimmune Pharmacology, 13, 438-452. </span> <a href=\"https://link.springer.com/article/10.1007/s11481-018-9782-9\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">Springer</a></li>\n    <li id=\"icd-11-mortality-morbidity-statistics-code-1129015467\" aria-level=\"1\" data-reference-number=\"4\"><span>World Health Organization. (2025). ICD-11 for mortality and morbidity statistics: Code 1129015467. World Health Organization. </span> <a href=\"https://icd.who.int/browse/2025-01/mms/en#1129015467\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">World Health Organization</a></li>\n    <li id=\"cannabis-use-disorder\" aria-level=\"1\" data-reference-number=\"5\"><span>Cleveland Clinic. (n.d.). Cannabis use disorder. </span> <a href=\"https://my.clevelandclinic.org/health/diseases/cannabis-use-disorder\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">Cleveland Clinic</a></li>\n    <li id=\"adverse-health-effects-marijuana-use\" aria-level=\"1\" data-reference-number=\"6\"><span>Volkow, N. D., Baler, R. D., Compton, W. M., &amp; Weiss, S. R. (2014). Adverse health effects of marijuana use. New England Journal of Medicine, 370(23), 2219-2227. DOI:</span> <a href=\"http://dx.doi.org/10.1056/NEJMra1402309\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">Adverse health effects of marijuana use</a></li>\n    <li id=\"marijuana-dependence-treatment\" aria-level=\"1\" data-reference-number=\"7\">Budney, A. J., Roffman, R., Stephens, R. S., &amp; Walker, D. (2007). Marijuana dependence and its treatment. Addiction Science &amp; Clinical Practice, 4(1), 4-16. <a href=\"https://pmc.ncbi.nlm.nih.gov/articles/PMC2797098/\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">PubMed Central</a></li>\n</ol></section><section class=\"article-medical article-panel\"><h2 id=\"medical-content\">Medical Content</h2><p><a href=\"https://www.mentalhealth.com/clinical-affairs\">The Clinical Affairs Team</a> at MentalHealth.com is a dedicated group of medical professionals with diverse and extensive clinical experience. They actively contribute to the development of content, products, and services, and meticulously review all medical material before publication to ensure accuracy and alignment with current research and conversations in mental health. For more information, please visit the <a href=\"https://www.mentalhealth.com/publishing/editorial-policy\">Editorial Policy</a>.</p></section><section class=\"article-about article-panel\"><h2 id=\"about-mentalhealth-com\">About MentalHealth.com</h2><p>MentalHealth.com helps people understand themselves, build healthier relationships, and access the right care. We bring together mental health education, diagnostics, and care management to support well-being throughout every phase of life.</p><div class=\"article-contributors\"><section class=\"article-bio\"><img src=\"https://www.mentalhealth.com/assets/wordpress/12169.jpg\" alt=\"\" width=\"64\" height=\"64\" loading=\"lazy\"><div><p class=\"article-bio-role\">Author</p><h3 id=\"areesha-hosmer\"><a href=\"https://www.mentalhealth.com/people/areesha-hosmer\">Areesha Hosmer</a></h3><p class=\"article-bio-credentials\">MSc</p><p>Areesha Hosmer is a writer with an academic background in psychology and a focus on Cognitive-Behavioral Therapy (CBT). </p><dl><div><dt>Published</dt><dd><time datetime=\"2025-08-08T08:55:09Z\">August 8, 2025</time></dd></div><div><dt>Updated</dt><dd><time datetime=\"2026-07-10T08:58:01Z\">July 10, 2026</time></dd></div></dl></div></section><section class=\"article-bio\"><img src=\"https://www.mentalhealth.com/assets/wordpress/11503.jpg\" alt=\"\" width=\"64\" height=\"64\" loading=\"lazy\"><div><p class=\"article-bio-role\">Medical Reviewer</p><h3 id=\"holly-schiff-psy-d\"><a href=\"https://www.mentalhealth.com/people/holly-schiff\">Holly Schiff, Psy.D.</a></h3><p class=\"article-bio-credentials\">Psy.D.</p><p>Holly Schiff, Psy.D., is a licensed clinical psychologist specializing in the treatment of children, young adults, and their families.</p><dl><div><dt>Reviewed</dt><dd><time datetime=\"2025-08-08\">August 8, 2025</time></dd></div></dl></div></section></div></section><section class=\"article-expert article-expert-mobile\" aria-label=\"Subject matter expert\" data-expert-kind=\"related\"><p class=\"article-bio-role\">Subject matter expert</p><div class=\"article-expert-identity\"><img src=\"https://www.mentalhealth.com/assets/wordpress/18538.jpeg\" alt=\"\" width=\"64\" height=\"64\" loading=\"lazy\"><h2><a href=\"https://www.mentalhealth.com/people/roger-watts\">Roger P. Watts <span class=\"expert-credentials\">Ph.D.</span></a></h2></div><p class=\"article-expert-focus\">Addiction therapy and recovery</p><a class=\"profile-experience-link experience-button\" href=\"https://www.mentalhealth.com/people/roger-watts\">View experience</a></section><section class=\"article-topic-community article-topic-community-mobile\" aria-label=\"Related communities\"><img class=\"topic-community-banner\" src=\"https://www.mentalhealth.com/assets/library/editorial-11670.webp\" alt=\"\" width=\"48\" height=\"48\" loading=\"lazy\"><p class=\"topic-community-label\">Related communities</p><h2>Substance Use Disorders</h2><p>Connect around experiences with substance use, its effects, and paths through recovery.</p><a href=\"https://www.mentalhealth.com/community/substance-use-disorders\">Explore community</a></section></div></div><aside class=\"article-sidebar\" tabindex=\"0\" data-bounded-rail=\"\" aria-label=\"Article navigation and related information\"><details class=\"article-contents\" open data-section-preview=\"3\" data-expanded=\"false\" data-scrolled-past=\"false\"><summary><strong>Table of contents</strong><span aria-hidden=\"true\"></span><small data-current-section=\"\">Choose a section</small></summary><nav aria-label=\"Article contents\"><ol id=\"article-section-list\"><li><a href=\"#understanding-the-condition\" title=\"Understanding the Condition\" aria-label=\"Understanding the Condition\">Understanding the Condition</a></li><li><a href=\"#recognizing-signs-and-symptoms\" title=\"Recognizing Signs and Symptoms\" aria-label=\"Recognizing Signs and Symptoms\">Recognizing Signs and Symptoms</a></li><li><a href=\"#risk-factors-for-the-disorder\" title=\"Risk Factors for the Disorder\" aria-label=\"Risk Factors for the Disorder\">Risk Factors for the Disorder</a></li><li><a href=\"#physical-health-consequences\" title=\"Physical Health Consequences\" aria-label=\"Physical Health Consequences\">Physical Health Consequences</a></li><li><a href=\"#treatment-of-cannabis-use-disorder\" title=\"Treatment of Cannabis Use Disorder\" aria-label=\"Treatment of Cannabis Use Disorder\">Treatment of Cannabis Use Disorder</a></li><li><a href=\"#the-path-to-recovery\" title=\"The Path to Recovery\" aria-label=\"The Path to Recovery\">The Path to Recovery</a></li></ol><button type=\"button\" class=\"article-sections-toggle\" data-sections-toggle aria-controls=\"article-section-list\" aria-expanded=\"false\">View more</button></nav></details><section class=\"article-expert\" aria-label=\"Subject matter expert\" data-expert-kind=\"related\"><p class=\"article-bio-role\">Subject matter expert</p><div class=\"article-expert-identity\"><img src=\"https://www.mentalhealth.com/assets/wordpress/18538.jpeg\" alt=\"\" width=\"64\" height=\"64\" loading=\"lazy\"><h2><a href=\"https://www.mentalhealth.com/people/roger-watts\">Roger P. Watts <span class=\"expert-credentials\">Ph.D.</span></a></h2></div><p class=\"article-expert-focus\">Addiction therapy and recovery</p><a class=\"profile-experience-link experience-button\" href=\"https://www.mentalhealth.com/people/roger-watts\">View experience</a></section><section class=\"article-topic-community\" aria-label=\"Related communities\"><img class=\"topic-community-banner\" src=\"https://www.mentalhealth.com/assets/library/editorial-11670.webp\" alt=\"\" width=\"48\" height=\"48\" loading=\"lazy\"><p class=\"topic-community-label\">Related communities</p><h2>Substance Use Disorders</h2><p>Connect around experiences with substance use, its effects, and paths through recovery.</p><a href=\"https://www.mentalhealth.com/community/substance-use-disorders\">Explore community</a></section></aside></div></div></div>","text":"HomeLibraryAddictionCannabis Use DisorderCannabis Use DisorderWritten by Areesha HosmerMedically reviewed by Holly Schiff, Psy.D.Published on August 8, 2025 · Updated on July 10, 2026Cannabis use disorder (CUD), or marijuana addiction, occurs when an individual continues to use cannabis despite experiencing clinically significant impairment. This condition extends beyond frequent use; it may affect mental health, damage relationships, and impact physical well-being.Early recognition supports more effective treatment and long-term recovery. Increased awareness of signs, risk factors, and treatment options plays a critical role in improving overall health and restoring balance in daily life.Key takeawaysCannabis use disorder involves continued use despite impairment or harm to daily life.Tolerance, difficulty controlling use, and effects on relationships or mental health can signal a problematic pattern.Behavioral treatments such as cognitive behavioral therapy and motivational enhancement therapy can support recovery.Understanding the ConditionCannabis use disorder was first introduced in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), to provide a more accurate, evidence-based framework for diagnosing problematic cannabis use. The previous DSM edition separated problematic use into two different disorders: cannabis abuse and cannabis dependence [1]. This distinction shows that individuals may be harmed by marijuana use even without full addiction. An estimated 10% of the nearly 193 million cannabis users worldwide are affected by CUD. While it may not be as severe as other substance use disorders, many individuals still seek treatment due to the widespread availability of cannabis [2]. The high user base contributes to a significant number of treatment cases, despite the condition’s comparatively lower health burden. Shifting Cultural PerceptionsCannabis is the most commonly used illicit substance in the United States after alcohol and tobacco. In the past decade, its use has increased from 4% to 9.5% [3]. Changing attitudes, especially among adolescents and adults, have contributed to intergenerational patterns, with children of early-onset users more likely to start using cannabis at a younger age.Public concern about cannabis risks has declined sharply, contributing to increased consumption [3]. Despite growing use, the addictive potential of cannabis remains underestimated. Yet CUD shares core features with other substance use disorders, highlighting the need for greater clinical attention and public education.Recognizing Signs and SymptomsCUD involves a pattern of problematic cannabis use that affects relationships, daily functioning, and emotional regulation. Once an individual develops a tolerance, they may require increasing amounts to achieve intoxication. The signs of dependence generally appear over 12 months, although a diagnosis may be made earlier in cases of daily or near-daily use for at least three months [4].Common signs and symptoms of problematic cannabis use include [4]: Using cannabis in larger amounts or for longer than intended Making repeated, unsuccessful attempts to cut down or control use Spending significant time obtaining, using, or recovering from cannabis Experiencing cravings or intense urges to use Continued use despite problems at work, school, or in relationships Developing tolerance or experiencing withdrawal symptoms when not using Other signs of cannabis use disorder that may be noticeable to others include an unkempt appearance, withdrawal from social connections, and clear changes in mood or behavior. A person may become defensive or hostile when asked about their use, often denying it or acting secretively to conceal their habits [5].Recognizing these patterns, along with understanding the associated risk factors, can help in making informed decisions about cannabis use and identifying when support may be needed.Risk Factors for the DisorderCannabis use often progresses in stages, starting with experimental or occasional use, moving to heavy use, and eventually developing into a substance use disorder. This progression involves several interconnected risk factors that increase the likelihood of developing CUD, including the following [5]: Brain Chemistry: The active compound THC affects brain chemistry by overstimulating the brain’s reward system. THC causes unusually high dopamine levels, shifting motivation away from natural rewards like relationships or food. Over time, this disrupts normal brain function. Genetic Influences: Genetic factors account for 40 to 60% of a person’s vulnerability to substance use disorders, and having a biological parent or sibling with a substance use disorder also raises this risk. Mental Health Conditions: Conditions such as depression or anxiety may increase cannabis use as a form of self-medication, further reinforcing CUD risk. This overlapping relationship between mental health and cannabis use complicates both diagnosis and treatment. Social Risk Factors: Access to cannabis, exposure through household members or peers, and the legal availability of cannabis products all raise risk. Using higher-potency cannabis or using it more frequently also contributes to dependence. Demographic Risk Factors: Starting cannabis use before age 18 makes a person more likely to develop CUD, and so does being male. Other risk factors include parental substance use, poor school performance, oppositional behaviors, alcohol or nicotine use, as well as a history of childhood trauma. Physical Health ConsequencesCUD 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.Cannabis use increases the likelihood of vehicle accidents because even at low doses, THC impairs coordination, reaction time, and judgment. Further, THC interacts with receptors in the walls of blood vessels, affecting how they expand or contract. This can lead to changes in blood pressure and heart rate, which may increase the risk of heart-related issues, especially in people with existing cardiovascular vulnerabilities [6].Mental Health EffectsCannabis use disorder also affects mental health in ways that may not always be visible right away. Regular use is linked with increased risk of anxiety, depression, or psychosis, particularly in people already vulnerable to these conditions.Adolescents are especially at risk, as early cannabis use can disrupt brain development and cause lasting difficulties with memory or focus. Brain imaging shows reduced connectivity in areas responsible for learning and self-control. For those with a genetic predisposition, cannabis use may trigger psychotic disorders like schizophrenia earlier than expected, making it fundamental to recognize and address early patterns of use [6].Treatment of Cannabis Use DisorderA lot of evidence suggests that behavioral interventions are successful in helping people who have CUD [7]. Cognitive behavioral therapy (CBT) and motivational enhancement therapy (MET) each offer structured methods that support reduced cannabis use and help manage associated challenges.CBT helps people develop coping strategies and change patterns linked to their cannabis use, while MET strengthens motivation to quit by helping them to resolve ambivalence about changing their behaviors.While these interventions can reduce cannabis use and improve related functioning, sustained abstinence is less common than outcomes for other substance use disorders.Many people experience periods of reduced use or improvement rather than complete and lasting cessation, unlike with disorders linked to alcohol or tobacco use. As with other substance use disorders, social support from family, friends, and structured recovery groups can improve outcomes by reinforcing motivation and providing accountability. As of now, no medications are approved specifically for treating cannabis use disorder, though ongoing research continues to explore pharmacological options [7].The Path to RecoveryCannabis use disorder is a real and manageable mental health condition, and although it can affect both physical and mental health, recovery is possible with the right approach. As awareness grows, more people are seeking help without feeling judged or dismissed. Dedicated treatment options have expanded, making support easier to access and more tailored to those affected. Behavioral therapies continue to improve as understanding of what helps people make lasting changes deepens. At the same time, research into how cannabis affects the brain offers hope for future medical treatments. Early intervention programs are also helping by reaching people before the disorder becomes more severe. Alongside treatment, social support from loved ones and recovery communities helps strengthen progress and reduce the stigma that often prevents people from seeking help. Together, these advances make recovery feel not only possible but within reach for anyone ready to take that first step.References American Psychiatric Association. (2022). Diagnostic and statistical manual of mental disorders (5th ed., text rev.). Washington, DC: American Psychiatric Association. PsychiatryOnline Connor, J. P., Stjepanović, D., Le Foll, B., Hoch, E., Budney, A. J., & Hall, W. D. (2021). Cannabis use and cannabis use disorder. Nature Reviews Disease Primers, 7(1), 16. Cannabis use and cannabis use disorder Zehra, A., Burns, J., Liu, C. K., Manza, P., Wiers, C. E., Volkow, N. D., & Wang, G. J. (2018). Cannabis addiction and the brain: A review. Journal of Neuroimmune Pharmacology, 13, 438-452. Springer World Health Organization. (2025). ICD-11 for mortality and morbidity statistics: Code 1129015467. World Health Organization. World Health Organization Cleveland Clinic. (n.d.). Cannabis use disorder. Cleveland Clinic Volkow, N. D., Baler, R. D., Compton, W. M., & Weiss, S. R. (2014). Adverse health effects of marijuana use. New England Journal of Medicine, 370(23), 2219-2227. DOI: Adverse health effects of marijuana use Budney, A. J., Roffman, R., Stephens, R. S., & Walker, D. (2007). Marijuana dependence and its treatment. Addiction Science & Clinical Practice, 4(1), 4-16. PubMed Central Medical ContentThe Clinical Affairs Team at MentalHealth.com is a dedicated group of medical professionals with diverse and extensive clinical experience. They actively contribute to the development of content, products, and services, and meticulously review all medical material before publication to ensure accuracy and alignment with current research and conversations in mental health. For more information, please visit the Editorial Policy.About MentalHealth.comMentalHealth.com helps people understand themselves, build healthier relationships, and access the right care. We bring together mental health education, diagnostics, and care management to support well-being throughout every phase of life.AuthorAreesha HosmerMScAreesha Hosmer is a writer with an academic background in psychology and a focus on Cognitive-Behavioral Therapy (CBT). PublishedAugust 8, 2025UpdatedJuly 10, 2026Medical ReviewerHolly Schiff, Psy.D.Psy.D.Holly Schiff, Psy.D., is a licensed clinical psychologist specializing in the treatment of children, young adults, and their families.ReviewedAugust 8, 2025Subject matter expertRoger P. Watts Ph.D.Addiction therapy and recoveryView experienceRelated communitiesSubstance Use DisordersConnect around experiences with substance use, its effects, and paths through recovery.Explore communityTable of contentsChoose a sectionUnderstanding the ConditionRecognizing Signs and SymptomsRisk Factors for the DisorderPhysical Health ConsequencesTreatment of Cannabis Use DisorderThe Path to RecoveryView moreSubject matter expertRoger P. Watts Ph.D.Addiction therapy and recoveryView experienceRelated communitiesSubstance Use DisordersConnect around experiences with substance use, its effects, and paths through recovery.Explore community","wordCount":1695},"schema":{"@context":"https://schema.org","@graph":[{"@type":"Organization","@id":"https://www.mentalhealth.com/#organization","name":"MentalHealth.com","url":"https://www.mentalhealth.com/"},{"@type":"WebSite","@id":"https://www.mentalhealth.com/#website","url":"https://www.mentalhealth.com/","name":"MentalHealth.com","inLanguage":"en-US","publisher":{"@id":"https://www.mentalhealth.com/#organization"}},{"@type":"BreadcrumbList","@id":"https://www.mentalhealth.com/library/cannabis-use-disorder#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https://www.mentalhealth.com/"},{"@type":"ListItem","position":2,"name":"Library","item":"https://www.mentalhealth.com/library"},{"@type":"ListItem","position":3,"name":"Addiction","item":"https://www.mentalhealth.com/library/addiction"},{"@type":"ListItem","position":4,"name":"Cannabis Use Disorder","item":"https://www.mentalhealth.com/library/cannabis-use-disorder"}]},{"@type":"ImageObject","@id":"https://www.mentalhealth.com/library/cannabis-use-disorder#primaryimage","url":"https://www.mentalhealth.com/assets/qa246/editorial-17238.webp","contentUrl":"https://www.mentalhealth.com/assets/qa246/editorial-17238.webp","width":1000,"height":666,"encodingFormat":"image/webp","caption":"A glass jar holds cannabis leaves."},{"@type":"Person","@id":"https://www.mentalhealth.com/people/areesha-hosmer#person","name":"Areesha Hosmer","url":"https://www.mentalhealth.com/people/areesha-hosmer","jobTitle":"MSc","image":"https://www.mentalhealth.com/assets/wordpress/12169.jpg","sameAs":["https://www.linkedin.com/in/areeshahosmer?lipi=urn%3Ali%3Apage%3Ad_flagship3_profile_view_base_contact_details%3BTG9mvXJ%2FSQSE1tkc87jxPA%3D%3D"]},{"@type":"Person","@id":"https://www.mentalhealth.com/people/holly-schiff#person","name":"Holly Schiff, Psy.D.","url":"https://www.mentalhealth.com/people/holly-schiff","jobTitle":"Psy.D.","image":"https://www.mentalhealth.com/assets/wordpress/11503.jpg","sameAs":["https://www.linkedin.com/in/holly-ann-schiff-psy-d-21b53821/"]},{"@type":"Article","@id":"https://www.mentalhealth.com/library/cannabis-use-disorder#article","url":"https://www.mentalhealth.com/library/cannabis-use-disorder","headline":"Cannabis Use Disorder","description":"Learn how cannabis use disorder affects mental health, and how early intervention and treatment can support lasting recovery.","wordCount":1314,"mainEntityOfPage":{"@id":"https://www.mentalhealth.com/library/cannabis-use-disorder#webpage"},"publisher":{"@id":"https://www.mentalhealth.com/#organization"},"articleSection":"Library","citation":[{"@type":"CreativeWork","name":"American Psychiatric Association. 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Watts Ph.D."},{"url":"https://www.mentalhealth.com/people/roger-watts","label":"View experience"},{"url":"https://www.mentalhealth.com/community/substance-use-disorders","label":"Explore community"},{"url":"https://www.mentalhealth.com/library/cannabis-use-disorder#understanding-the-condition","label":"Understanding the Condition"},{"url":"https://www.mentalhealth.com/library/cannabis-use-disorder#recognizing-signs-and-symptoms","label":"Recognizing Signs and Symptoms"},{"url":"https://www.mentalhealth.com/library/cannabis-use-disorder#risk-factors-for-the-disorder","label":"Risk Factors for the Disorder"},{"url":"https://www.mentalhealth.com/library/cannabis-use-disorder#physical-health-consequences","label":"Physical Health Consequences"},{"url":"https://www.mentalhealth.com/library/cannabis-use-disorder#treatment-of-cannabis-use-disorder","label":"Treatment of Cannabis Use Disorder"},{"url":"https://www.mentalhealth.com/library/cannabis-use-disorder#the-path-to-recovery","label":"The Path to Recovery"},{"url":"https://www.mentalhealth.com/people/roger-watts","label":"Roger P. Watts Ph.D."},{"url":"https://www.mentalhealth.com/people/roger-watts","label":"View experience"},{"url":"https://www.mentalhealth.com/community/substance-use-disorders","label":"Explore community"}],"seo":{"title":"Cannabis Use Disorder | MentalHealth.com","description":"Learn how cannabis use disorder affects mental health, and how early intervention and treatment can support lasting recovery.","canonical":"https://www.mentalhealth.com/library/cannabis-use-disorder","robots":"index,follow","socialImage":{"url":"https://www.mentalhealth.com/assets/social-tiles-20261006-dots/library.png","width":1200,"height":630,"alt":"MentalHealth.com — Library","type":"image/png","sitemapGroup":"library"}},"breadcrumbs":[{"name":"Home","url":"https://www.mentalhealth.com/"},{"name":"Library","url":"https://www.mentalhealth.com/library"},{"name":"Addiction","url":"https://www.mentalhealth.com/library/addiction"},{"name":"Cannabis Use Disorder","url":"https://www.mentalhealth.com/library/cannabis-use-disorder"}],"subjectMatterExpert":{"name":"Roger P. Watts, Ph.D.","url":"/people/roger-watts","profileId":"6374","topic":"addiction","focus":"Addiction therapy and recovery","selectionBasis":"Documented expertise in the existing published profile","reviewAttribution":false},"keyTakeaways":["Cannabis use disorder involves continued use despite impairment or harm to daily life.","Tolerance, difficulty controlling use, and effects on relationships or mental health can signal a problematic pattern.","Behavioral treatments such as cognitive behavioral therapy and motivational enhancement therapy can support recovery."],"introduction":{"html":"Cannabis use disorder (CUD), or marijuana addiction, occurs when an individual continues to use cannabis despite experiencing clinically significant impairment. This condition extends beyond frequent use; it may affect <a href=\"https://www.mentalhealth.com/library/mental-health\">mental health</a>, damage relationships, and impact physical well-being.\n\nEarly recognition supports more effective treatment and <a href=\"https://www.mentalhealth.com/library/recovery-from-addiction-social-support\">long-term recovery</a>. Increased awareness of signs, risk factors, and treatment options plays a critical role in improving overall health and restoring balance in daily life.","text":"Cannabis use disorder (CUD), or marijuana addiction, occurs when an individual continues to use cannabis despite experiencing clinically significant impairment. This condition extends beyond frequent use; it may affect mental health, damage relationships, and impact physical well-being. Early recognition supports more effective treatment and long-term recovery. Increased awareness of signs, risk factors, and treatment options plays a critical role in improving overall health and restoring balance in daily life.","sourceField":"hero"},"navigation":[{"label":"Understanding the Condition","href":"#understanding-the-condition","heading":"Understanding the Condition"},{"label":"Recognizing Signs and Symptoms","href":"#recognizing-signs-and-symptoms","heading":"Recognizing Signs and Symptoms"},{"label":"Risk Factors for the Disorder","href":"#risk-factors-for-the-disorder","heading":"Risk Factors for the Disorder"},{"label":"Physical Health Consequences","href":"#physical-health-consequences","heading":"Physical Health Consequences"},{"label":"Treatment of Cannabis Use Disorder","href":"#treatment-of-cannabis-use-disorder","heading":"Treatment of Cannabis Use Disorder"},{"label":"The Path to Recovery","href":"#the-path-to-recovery","heading":"The Path to Recovery"}],"relatedCommunity":{"community":"/community/substance-use-disorders","basis":"topic match"},"referencePresentation":"Numbered author–date bibliography with linked source documents; n.d. denotes unavailable publication date.","collections":[]}
