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How does marijuana affect the brain? Marijuana has both short- and long- term effects on the brain. THC acts on numerous areas (in yellow) in the brain. The final objective of Operation Barbarossa was to occupy the European. Some of this information is based in a TV program.Image by NIDAShort- term effects. When a person smokes marijuana, THC quickly passes from the lungs into the bloodstream. The blood carries the chemical to the brain and other organs throughout the body. The body absorbs THC more slowly when the person eats or drinks it. In that case, the user generally feels the effects after 3. THC acts on specific brain cell receptors that ordinarily react to natural THC- like chemicals in the brain. These natural chemicals play a role in normal brain development and function. Marijuana overactivates parts of the brain that contain the highest number of these receptors. Economic Reform in the 1990s. The next phase of the privatization program called for direct cash sales of. The Soviet government also cut down and buried about a square mile. Indonesia's History and Background. The European Recovery Program was also called the. Weegy: The Truman Doctrine. FRANCE was able to remain independent in European affairs. Other effects include: altered senses (for example, seeing brighter colors)altered sense of timechanges in moodimpaired body movementdifficulty with thinking and problem- solvingimpaired memory. Long- term effects. Marijuana also affects brain development. When marijuana users begin using as teenagers, the drug may reduce thinking, memory, and learning functions and affect how the brain builds connections between the areas necessary for these functions. Marijuana’s effects on these abilities may last a long time or even be permanent. For example, a study showed that people who started smoking marijuana heavily in their teens and had an ongoing cannabis use disorder lost an average of eight IQ points between ages 1. The lost mental abilities did not fully return in those who quit marijuana as adults. Those who started smoking marijuana as adults did not show notable IQ declines. A Rise in Marijuana’s THC Levels. The amount of THC in marijuana has been increasing steadily over the past few decades. For a new user, this may mean exposure to higher THC levels with a greater chance of a harmful reaction. Higher THC levels may explain the rise in emergency room visits involving marijuana use. The popularity of edibles also increases the chance of users having harmful reactions. Edibles take longer to digest and produce a high. Therefore, people may consume more to feel the effects faster, leading to dangerous results. Dabbing is yet another growing trend. More people are using marijuana extracts that provide stronger doses, and therefore stronger effects, of THC (see . Marijuana smoke irritates the lungs, and frequent marijuana smokers can have the same breathing problems that tobacco smokers have. These problems include daily cough and phlegm, more frequent lung illness, and a higher risk of lung infections. Researchers still do not know whether marijuana smokers have a higher risk for lung cancer. Increased heart rate. Marijuana raises heart rate for up to 3 hours after smoking. This effect may increase the chance of heart attack. Older people and those with heart problems may be at higher risk. Problems with child development during and after pregnancy. Marijuana use during pregnancy is linked to increased risk of both brain and behavioral problems in babies. If a pregnant woman uses marijuana, the drug may affect certain developing parts of the fetus’s brain. Resulting challenges for the child may include problems with attention, memory, and problem- solving. Additionally, some research suggests that moderate amounts of THC are excreted into the breast milk of nursing mothers. The effects on a baby’s developing brain are still unknown. Mental effects. Long- term marijuana use has been linked to mental illness in some users, such as: temporary hallucinations—sensations and images that seem real though they are nottemporary paranoia—extreme and unreasonable distrust of othersworsening symptoms in patients with schizophrenia (a severe mental disorder with symptoms such as hallucinations, paranoia, and disorganized thinking)Marijuana use has also been linked to other mental health problems, such as depression, anxiety, and suicidal thoughts among teens. However, study findings have been mixed. How Does Marijuana Affect a User’s Life? Compared to nonusers, heavy marijuana users more often report the following: lower life satisfactionpoorer mental healthpoorer physical healthmore relationship problems. Users also report less academic and career success. For example, marijuana use is linked to a higher likelihood of dropping out of school. It is also linked to more job absences, accidents, and injuries. The European Recovery Program was also known. Is marijuana a gateway drug? Some research suggests that marijuana use is likely to come before use of other drugs. Marijuana use is also linked to addiction to other substances, including nicotine. In addition, animal studies show that the THC in marijuana makes other drugs more pleasurable to the brain. Although these findings support the idea of marijuana as a . Read more about marijuana as a gateway drug in the Marijuana Research Report at www. Is marijuana addictive? Contrary to common belief, marijuana can be addictive. Research suggests that 3. People who begin using marijuana before age 1. Dependence becomes addiction when the person can't stop using marijuana even though it interferes with his or her daily life. How can people get treatment for marijuana addiction? Long- term marijuana users trying to quit report withdrawal symptoms that make quitting difficult. These include: grouchinesssleeplessnessdecreased appetiteanxietycravings. Behavioral support has been effective in treating marijuana addiction. Examples include therapy and motivational incentives (providing rewards to patients who remain substance free). No medications are currently available to treat marijuana addiction. However, continuing research may lead to new medications that help ease withdrawal symptoms, block the effects of marijuana, and prevent relapse. Points to Remember. Marijuana refers to the dried leaves, flowers, stems, and seeds from the hemp plant, Cannabis sativa. The plant contains the mind- altering chemical delta- 9- tetrahydrocannabinol (THC) and other related compounds. People use marijuana by smoking, eating, drinking, and inhaling it. Smoking THC- rich extracts from the marijuana plant (a practice called dabbing) is on the rise. THC overactivates certain brain cell receptors, resulting in effects such as. Marijuana use may have a wide range of effects, both physical and mental, which include. The amount of THC in marijuana has been increasing steadily, creating more harmful effects for users. Marijuana can be addictive. Treatment for marijuana addiction includes forms of behavioral therapy. No medications currently exist for treatment. Learn More. For more information about marijuana and marijuana use, visit: For more information about marijuana as medicine and about state laws related to marijuana, visit: Monitoring the Future. Learn more about the Monitoring the Future survey, which annually measures drug, alcohol, and tobacco use and related attitudes among teenage students nationwide: www. References. Center for Behavioral Health Statistics and Quality (CBHSQ). Behavioral Health Trends in the United States: Results from the 2. National Survey on Drug Use and Health. Rockville, MD: Substance Abuse and Mental Health Services Administration; 2. SMA 1. 5- 4. 92. 7, NSDUH Series H- 5. Johnston L, O’Malley P, Miech R, Bachman J, Schulenberg J. Monitoring the Future National Survey Results on Drug Use: 1. Overview: Key Findings on Adolescent Drug Use. Ann Arbor, MI: Institute for Social Research, The University of Michigan; 2. Meier MH, Caspi A, Ambler A, et al. Persistent cannabis users show neuropsychological decline from childhood to midlife. Proc Natl Acad Sci U S A. E2. 65. 7- E2. 66. Marijuana Use and High School Dropout: The Influence of Unobservables. The efficacy of preemployment drug screening for marijuana and cocaine in predicting employment outcome. Secades- Villa R, Garcia- Rodr. Probability and predictors of the cannabis gateway effect: a national study. Prior exposure to THC increases the addictive effects of nicotine in rats. Neuropsychopharmacol Off Publ Am Coll Neuropsychopharmacol. Prevalence of Marijuana Use Disorders in the United States Between 2. Likelihood of developing an alcohol and cannabis use disorder during youth: association with recent use and age. Alcohol Alert Number 8. Print PDF Treatment techniques and tools to address alcohol use disorders (AUDs)* have multiplied over the last 3. Alcoholics Anonymous and its offshoot, the Minnesota Model. Care providers now can prescribe medications to aid people as they work to reduce their drinking. If a traditional mutual- help group model of care does not appeal to a patient, he or she has other behavioral therapy options. And Web- based approaches provide access to therapy 2. Despite these developments, however, the majority of people with alcohol use disorders (AUDs) in the United States go untreated. According to data from NIAAA’s 2. National Epidemiologic Survey on Alcohol and Related Conditions (NESARC), only 1. Another survey. 3 of people who experienced the onset of alcohol dependence a year before the study found that only 2. Though some people with AUDs do actually recover on their own without formal treatment, some achieve partial remission, and some cycle in and out of alcohol problems throughout their lives, novel approaches and further access to treatment could play an important role in helping people to reduce their drinking. This picture of a largely untreated population of patients has prompted researchers to explore better ways of engaging people who might not have considered treatment as an option for addressing their problems with alcohol. Improving diagnosis is one area under exploration, including screening for alcohol abuse and alcoholism and providing brief interventions in a variety of settings, such as primary care clinics and emergency departments. Scientists are examining the effectiveness of medications for treating patients and preventing relapse to drinking. Research also suggests that a large proportion of people with co- occurring psychological or medical conditions remain underserved by existing treatment systems; greater coordination of care might improve responses to AUD treatment for this group. The range of symptoms include repeatedly drinking more than intended, the inability to stop drinking despite a desire to do so, a preoccupation with alcohol to the detriment of other aspects of a person’s life, experiencing negative impacts of alcohol on social or professional obligations, withdrawal symptoms, and craving. This Alcohol Alert summarizes the state of alcoholism treatment research, explores its use in a variety of settings, and reviews new efforts for engaging people in treatment. Efforts to improve continuing care for those in treatment and to coordinate care for those with co- occurring disorders also are included. The Alert then examines how health services and financing vehicles, such as private and public insurance, influence people’s ability to access and pay for that treatment. Broadening the Reach of Treatment Although medications and behavioral therapies traditionally have been developed and studied within specialty alcoholism treatment settings, that is beginning to change. Studies show that effective treatment can be administered in a variety of settings and should be considered a routine component of healthcare. As physicians gain experience and comfort with alcohol treatment options, they will be more likely to identify and help people with AUDs and to help them better manage their drinking throughout their lives. Medications Primary care providers are accustomed to prescribing medications for a number of illnesses, but generally are unfamiliar with medicines to treat alcohol problems. Medicines approved by the Food and Drug Administration (FDA) to treat alcohol dependence include disulfiram (Antabuse. Medications marketed for other illnesses also have shown efficacy in treating AUDs, such as topiramate, which is approved to treat epilepsy and migraines (for a review of approved medicines and compounds in development, see reference). New compounds under study also are showing promise. For example, some compounds targeting certain brain systems are being used for alcohol withdrawal and for relapse prevention. Also, researchers are studying medicines approved for smoking cessation for their impact on heavy drinking. Positive results are found when medications are combined with behavioral treatment. Now scientists are assessing the appropriate level of counseling to use in conjunction with medication and the best methods to enhance patients’ medication adherence. Such approaches include establishing a plan for adhering to the medication, solving any problems that appear, and teaching strategies for self- change. Maintaining contact with patients and emphasizing adherence appear to be key to successful treatment with medications, and these aspects are especially well suited to primary care settings where doctors maintain ongoing relationships with their patients. Behavioral Therapies Medications are one tool to stop or reduce drinking, but successful long- term recovery centers on changing a person’s behaviors and expectations about alcohol. Many treatment approaches, including mutual- help groups like Alcoholics Anonymous (AA), focus on behavioral principles such as reinforcement and behavior modeling (for instance, these groups provide sponsors who guide participants through the program) to help patients make those changes. Since the mid- 1. Many of these therapies can be adapted for use outside specialty alcoholism treatment settings, such as primary care, emergency departments, community centers, and schools. Behavioral therapies are especially effective in encouraging self- change—or the ability of some people to quit drinking on their own. These approaches use goal setting, self- monitoring of drinking, analysis of drinking situations, and learning alternate coping skills. Couples and family therapies analyze drinking behaviors and aim to improve relationship factors, such as improving communication, avoiding conflicts, and learning to solve problems that might lead to drinking. Care providers can offer these treatments not only in different settings but in varying doses. For example, brief interventions enable doctors to help patients in identifying high- risk situations when they might use alcohol and discuss skills for coping with those situations without drinking. Such therapies can be delivered in a physician’s office in an hour or less. One study determined that brief physician advice delivered across two doctor visits and two follow- up phone calls resulted in reduced alcohol use and binge drinking for up to 4 years after the intervention. With such a variety of approaches available today, scientists are examining whether certain patient characteristics predict better responses to different approaches. Although no such patterns have yet emerged from research, core components of effective therapies have been identified that may prove useful in helping a care provider decide which treatment is best for a particular person. These components include enhancing social support, working with the patient to develop goals and to provide ideas for obtaining those goals, modeling and rewarding good behavior, and reviewing ways to cope with the triggers that lead to drinking. Matching a patient to therapies that address an area where he or she shows the greatest need may prove most effective. Screening A potentially powerful way to improve problem drinkers’ access to treatment is to make routine screening part of primary care. Asking the single question of how often the patient exceeded the daily maximum drinking limits in the prior year (i. A simple question can then become the opportune moment for a brief intervention. Mutual- help Groups (MHGs) Despite developments in medications and behavioral therapies, MHGs remain the most commonly sought source of help for AUDs in the United States. MHGs are groups of two or more people who share a problem and come together to provide problem- specific help and support to one another. Although AA has the largest following, groups catering to populations with different demographics and preferences (e. One reason for the popularity of MHGs may be their inherent flexibility and responsiveness. People can attend MHGs as frequently and for as long as they want without insurance and without divulging personal information. Often, people can attend MHGs at convenient times, like evenings and weekends, when they are at higher risk of a relapse to drinking. MHGs also are more cost effective than formal treatment. For example, patients can attend AA at no cost, which translates into about 4. Although high- quality clinical trials assessing MHGs are difficult because of their voluntary and anonymous nature, studies that follow drinkers during and after treatment have shown that MHGs compare well with more formal treatment. AA participants in a 1. AA and formal treatment performed better than formal treatment alone at years 1 and 3. Other studies show that people involved in MHGs had more friend support resources than those in outpatient programs. Indeed, some scientists believe the improvement in participants’ social network and the support they receive for abstinence may explain the success of MHGs. Also, people can have access to this support for as long as they need it. Thus, MHGs remain a staple treatment tool and provide a good alternative for physicians to consider when counseling patients. One method doctors use to encourage patients to try MHGs, called twelve- step facilitation (TSF) therapy, dispels myths and encourages patients to attend meetings. Studies of TSF1. 9,2. MHGs by making arrangements for them to attend meetings or setting up introductions to group members, patients do become more involved. Patients who receive TSF also have shown higher rates of continuous abstinence than those receiving some other behavioral therapies. Emerging Technologies From social networking sites and news outlets to online learning, the Internet is changing the way people communicate and obtain information. |
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