Early Life Trauma and CANNABIS An Introduction….. WEEK ONE Firstly, we are going to ask the question: Why consider CANNABIS alongside EARLY LIFE TRAUMA? Is there some kind of link? What do we already know? We know that the regular use of CANNABIS has been closely linked to a multitude of PERSONALITY; BEHAVIOURAL; PSYCHOLOGICAL, and NERVOUS SYSTEM effects *… CANNABIS *Long-term effects of marijuana use on the brain (2014) F. M. Filbey, et al. University of California Davis Centre for Neuroscience, Sacramento, CA We know that regular use of CANNABIS has been closely linked to VIOLENCE and VIOLENT BEHAVIOUR*… *O’Donnell et al. Journal of Cannabis Research (2020) Patterns and correlates of cannabis use by cumulative lifetime violence severity as target and/or perpetrator in a community sample of eastern Canadian menhttps://doi.org/10.1186/s42238-020-00021-5 We know that regular use of CANNABIS has been closely linked to perpetration of DOMESTIC VIOLENCE *… *Ryan C. Shorey, Ellen Haynes, Meagan Brem, Autumn Rae Florimbio, Hannah Grigorian, and Gregory L. Stuart, “Marijuana Use Is Associated With Intimate Partner Violence Perpetration Among Men Arrested for Domestic Violence,” Translational Issues in Psychological Science 4, no. 1, 2018, 108–118. We also know that CANNABIS is commonly used as a coping strategy for PTSD and early life trauma*… *The impact of heavy cannabis use on young people - Vulnerability and youth transitions Margaret Melrose with Penny Turner, John Pitts and David Barrett, Joseph Rowntree Foundation, University of Bedfordshire 2007 * Effects of Marijuana on Mental Health: Posttraumatic Stress Disorder (PTSD) Susan A. Stoner, PhD, Research Consultant (June 2017) And we also know that regular use of CANNABIS can lead to PSYCHOSIS and PSYCHOTIC SYMPTOMS………. But that it can also REDUCE psychotic symptoms??*…… *Ben Amar, M. (2020) Cannabis and Psychosis: A Review of the Risk Factors Involved. American Journal of Plant Sciences, 11, 1949-1990. https://doi.org/10.4236/ajps.2020.1112139 So, over the coming four weeks, we’re going to learn about the critical links that exist between: • Early life trauma (ACES’s) • Cannabis use • The effect on relationships and career prospects throughout life We’ll learn what risks exist; how to identify them, and how to manage and reduce them During this first week we’re going to introduce ourselves to CANNABIS itself : Good drug? Bad drug? Images of Sativa and Indica cannabis plants, and the mostly benign Ruderalis. Sativa plants tend to be large while Indica plants are shorter and wider: • Sativa, Indica and Ruderalis are ALL types of the hemp plant. • Hemp has a number of useful properties that have been known for as long as 8,000 years. • Later, the plant became widely used in medicines in China, Egypt, and India. • It’s use as a recreational drug dates back to at least 2,000 BC. • The principal chemical in the hemp plant that acts on the brain and produces a “high” is tetrahydrocannabinol, (or THC). Because THC affects thought processes, it is called psychoactive or psychotropic. • In order to be classed as industrial hemp, the plant must contain no more than 0.2% THC in the UK • The stems contain a strong fibre from which rope, paper and cloth are made. The fibres are of such good quality that they were once used to make bowstrings! • Sativa and Indica are the two major types of cannabis plants which can mix together to create hybrid strains. Each strain has its own range of effects resulting in a wide range of medicinal benefits. • Indica plants typically grow short and wide, compared to Sativa plants which grow tall and thin. • Indica plants are better suited for indoor growing because of their short growth and Sativa plants are better suited for outdoor growing because some strains can reach over 25 ft. in height! • Cannabis strains range from pure sativas to pure indicas and hybrid strains consist of both indica and sativa (30% indica – 70% sativa, 50% – 50% combinations, 80% indica – 20% sativa). • Because Sativa and Indica buds have very different medicinal benefits and effects, certain strains can be targeted to better treat specific illnesses. Benefits of Indica: 1. Relieves body pain 2. Relaxes muscles 3. Relieves spasms, reduces seizures 4. Relieves headaches and migraines 5. Relieves anxiety or stress Benefits of Sativa: 1. Feelings of well-being and at-ease 2. Up-lifting and cerebral thoughts 3. Stimulates and energizes 4. Increases focus and creativity 5. Fights depression So that MUST all be GOOD, right? The brain and body even produce their OWN ‘CANNABINOID RECEPTORS’, and their own internal cannabinoid ‘brain chemical’ (neurotransmitter) named ANANDAMIDE. The recreational drug CANNABIS just greatly exaggerates the effect of this natural chemical found in the body. So, what do we think about CANNABIS? Good drug? Bad drug? So, what do we think about CANNABIS? Good drug? Bad drug? Why is it a GOOD Drug? Why is it a BAD Drug? Actually ……. It’s a TRICK QUESTION! IT’S NEITHER!!! It’s just a drug…… OF ITSELF, - CANNABIS is neither GOOD nor BAD Imagine….. If I were trapped in a locked room with a savage lion, two things might happen…. • The lion might attack me, • Or I might attack the lion! On the other hand….. If I were trapped inside the same locked room with a bag of cannabis…… absolutely NOTHING would happen……. Because I wouldn’t smoke it…….. Cannabis, - like ANY drug, - is INERT……. It has no LIFE of its own. It cannot harm or help me. …….It is just an unmoving, unchanging, unthreatening …… drug ….. Any DANGER or BENEFIT from CANNABIS can only be dependant on the context of the PERSON USING IT, and the circumstances in which it is being used. So let’s try to rephrase the question, with THIS understanding in mind…. What is the CONTEXT in which CANNABIS is being used? NOW we’ve opened up a WHOLE WORLD of possible questions and answers, which will give us vital clues as to its relative ‘BADNESS’ or ‘GOODNESS’… Now we’ll need to know: • The AGE of the user (what stage of cognitive development?) • The DURATION of use (how long has it been used for?) • The FREQUENCY of use (how often has it been used?) • The QUANTITY of use (how many joints are regularly used?) • The PURITY of the CANNABIS being used (how much THC? Bud? Herbal? Solid?) • The rate of METABOLISM (how long does it stay in the body?) • What OTHER drugs or substances are being used at the same time? • Has this person experienced any EARLY LIFE TRAUMA? And THIS information will allow us to ASSESS POSSIBLE RISKS and also to UNDERSTAND just how this person is likely to experience his / her world .... NEXT WEEK we will go on to the NEXT part of our fascinating journey….. We will look at the only ACTIVE element involved in CANNABIS use....... The USER of the cannabis. • We will consider CANNABIS use in the context of ADOLESCENT COGNITIVE DEVELOPMENT and EARLY LIFE TRAUMA • What factors could negatively affect cognitive development PRIOR to cannabis use? • What factors could THEN be adversely affected BY cannabis use? • We will learn HOW to assess risk • We will learn HOW to bring about positive change and healing