DEA Addiction Medicine Essentials-263576

Video Transcription

Video Summary

Dr. Veronica Redpath, a general practice psychiatrist specializing in addiction medicine, discusses cannabis use disorder, covering its criteria, effects, and treatment options. Cannabis, a plant-based product with numerous strains like sativa, indica, and hybrids, includes over 100 cannabinoids, primarily THC and CBD, which interact with various receptors influencing motor activity, memory, pain perception, and more. THC is psychoactive, causing euphoria, drowsiness, and occasionally paranoia, while CBD has neuroprotective and antipsychotic properties.<br /><br />Cannabis use is widespread, with its increased availability raising concerns about use disorder. Adverse effects, especially with high THC/low CBD products, include psychosis and cognitive issues. Dr. Redpath highlights specific groups at risk, such as teens, pregnant women, and those with mental health conditions, noting cannabis' negative impact on brain development, neonatal outcomes, and psychiatric disorders.<br /><br />Screening tools exist for diagnosing cannabis use disorders, focusing on the pattern of use and withdrawal symptoms, which can include irritability, anxiety, and physical discomfort. Potential treatment options like oral THC, lithium, and gabapentin show promise, though no FDA-approved treatment exists.<br /><br />Psychotherapeutic approaches, including cognitive behavioral therapy and motivational interviewing, are vital, aiming to reduce use, manage triggers, and support patients. Dr. Redpath emphasizes harm reduction strategies, ensuring patients understand product purity and managing use circumstances. She advocates for patient engagement, asking open-ended questions to understand cannabis' role in their lives, ensuring supportive and informed care.

Keywords

Cannabis Use Disorder

Addiction Medicine

THC

CBD

Psychiatric Disorders

Screening Tools

Withdrawal Symptoms

Treatment Options

Cognitive Behavioral Therapy

Harm Reduction

Patient Engagement