Cannabis and mental health: key facts
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Introduction
For many of us, cannabis is a way to relax – 2
million people in the UK smoke it and half of all 16 to 29 year
olds have tried it. But research suggests that it can cause
problems in some vulnerable people.
How does cannabis work?
When smoked, cannabis from the lungs
goes into the blood and is carried to every part of the body.
Several chemicals in cannabis bind to receptors in areas of the
brain that deal with pleasure, memory, thought, concentration and
the awareness of time. There are two main kinds of chemical
involved:
- A group called the cannabinoids, which seem to give you the
more pleasant effects - feeling relaxed, happy, sleepy, with
colours appearing more vivid and music sounding better.
- THC, which seems to produce hallucinations, anxiety and
paranoia.
These feelings don't usually last long –
although as the drug can stay in your system for some weeks,
subtle effects can last a few days. Long-term use can make you
depressed and make you less motivated.
What is the risk to mental health?
Depression
1600 Australian children aged 14 to 15 were
studied for seven years. The ones who used cannabis every day
were 5 times more likely to become depressed and anxious by
the end of the study.
Schizophrenia
- If you start smoking cannabis before 15, you are 4 times more
likely to develop a psychotic illness.
- The more cannabis you use, the more likely you are to develop
psychosis.
It isn't clear why cannabis use in adolescence
seems to have such an effect, but it may be because the brain is
still developing.
Is there such a thing as ‘cannabis
psychosis’?
Some people seem to get a short period of
psychosis that is brought on by cannabis but which stops soon after
the cannabis is stopped.
If it's so dangerous, why don't more of my friends get
unwell?
Probably because most people don't use
cannabis before they are 15 and don't go on smoking large amounts.
Psychotic illness is quite unusual anyway – only about 1 in 200
people have it at any given time. Most of us probably don't know
that many people so, even if cannabis does increase the risk, you
aren't likely to notice an ”epidemic” amongst the people you
know.
What about other effects?
- Education: the connection isn't clear, but
regular cannabis use does seem to affect how you do at school or
college.
- Employment: cannabis users are more likely to leave work
without permission, spend work time on personal matters or
daydream. Regular users report that it has interfered with their
work and social life.
- Driving: a recent study in France showed that cannabis
users are more than twice as likely to be the cause of a fatal
crash than to be one of the victims.
Is cannabis addictive?
It has some of features of addictive drugs – a
regular user has to take more and more to get the same effect
(tolerance) and can get withdrawal symptoms.
3 out of 4 long-term users get cravings,
half become irritable and 7 out of 10 switch to tobacco
to try to stay off cannabis. Many find that they spend much
of their life seeking, buying and using it. It is probably about as
hard to stop as tobacco.
What about skunk and stronger varieties of
cannabis?
The amount of the main active ingredient, THC,
in herbal cannabis varies from 1% up to 15%. The newer strains,
including skunk, can have up to 20%. On the whole, the newer
varieties are probably about 2 or 3 times stronger than
those available 30 years ago. They make you relaxed and cheerful
more quickly, but also produce more unpleasant effects.
How can I cut down my use of cannabis?
The Home Office has published a
guide on cutting down and stopping. It suggests that you:
- write down your reasons for wanting to change
- plan how you will change
- plan how to cope with withdrawal symptoms
- have a back-up plan.
You can also work through the leaflet on the
FRANK website.
What other support can I get?
What about professional help?
Your GP or practice nurse can put you in touch
with a counsellor, support group or NHS substance misuse service.
These can help you to stop taking cannabis, to cut down the amount
you use and to reduce its impact on your life. Some now have
services specially for cannabis users.
For more
information, see our main leaflet
on Cannabis and mental health.
This leaflet is made available through the
generosity of the Charitable Monies Allocation
Committee of the mental health charity St Andrew's, Northampton
© November 2012. Due for
review November 2014. Royal College of Psychiatrists. This is an
abridged version of our main leaflet. You can link to, download,
print, photocopy and distribute this leaflet free of charge. But
you must not change it or repost it on a website.
Please note that we are unable to offer advice on individual cases. Please see our
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