Marijuana Dependence Psychology and Counseling Principles Reference websites 1) National Institute on Drug Abuse www.drugabuse.gov/related-topics/trends-statistics 2) www.scientificamerican.com/article.cfm?id=the-truth-about-pot 3) www.drugabuse.gov › Related Topics 4) www.samhsa.gov/data/2k12/.../TEDS_061_LateAdolescents_2012.p 5) Cannabis Dependence Symptoms and DSM-IV Diagnosis www.psychtreatment.com/mental_health_cannabis_dependence_sym 6) Cannabis Compound Abuse Clinical Presentation emedicine.medscape.com/article/286661-clinical Diagnostic and Statistical Manual (DSM-IV) American Psychiatric Association The DSM IV regards cannabis (marijuana) abuse and dependence as a mental health disorder, coded 304.30 and 305.20, as the following: 1) A maladaptive pattern of marijuana use leading to clinically significant impairment or distress. 2) Recurrent substance use resulting in a failure to fulfill major role obligations at work, school, or home (repeated absences or poor work performance related to marijuana use; substance-related absences, suspension, or expulsions from school; neglect of children or household) 3) Continued marijuana use despite having persistent or recurrent social or interpersonal problems caused or exacerbated (worsen) by the effects of the substance (arguments with spouse about consequences of intoxication, physical fights) 4) A need for markedly increased amounts of the marijuana use to achieve intoxication or desired effect; (page 1 of 2) 5) Markedly diminished effect with continued use of the same amount marijuana; 6) The characteristic withdrawal syndrome for substances; 7) Marijuana is often taken in larger amounts or over a longer period than was intended. 8) There is a persistent desire or unsuccessful efforts to cut down or control marijuana use. 9) Important social, occupational, or recreational activities are given up or reduced because of marijuana use. 10) Marijuana use is continued despite knowledge of having a persistent or recurrent physical or psychological problem that is likely to have been caused or exacerbated by, despite recognition of marijuana-induced apathy, loss of motivation, and misplaced goals. Research and Data 1) Harvard University researchers report that the risk of heart attack is five times higher than usual in the hour after smoking marijuana. 2) The National Institute of Health found that a person who smokes five joints per week may be taking in as much tar and cancer-causing chemicals into their lungs as someone who smokes a pack of cigarettes every day. 3) Research indicate those who had tried marijuana at least once, about nine percent eventually fit a diagnosis of cannabis dependence. The risk of addiction goes up to about 1 in 6 among those who start using as adolescents, and 25-50% of daily users. The corresponding figure for alcohol was 15 percent; for cocaine, 17 percent; for heroin, 23 percent; and for nicotine, 32 percent. 4) According to The National Survey on Drug Use and Health (NSDUH) 2010 data, the estimated 7.1 million Americans classified with dependence on or abuse of illicit drugs, nearly 4.5 million were dependent on or abused marijuana. 5) In 2009, 18% of people entering drug abuse treatment programs reported marijuana as their primary drug of abuse (70% of those aged 12-14; and 72% of those aged 15-17), representing more than 350,000 admissions. (page 2 of 2)