Book contents
- Frontmatter
- Contents
- List of contributors
- Preface
- Part I Introduction
- Part II Summary of treatment modalities in psychiatric disorders
- Part III Specific treatments
- 9 Delirium
- 10 Management of behavioural and psychological symptoms of dementia and acquired brain injury
- 11 Dementia: pharmacological and non-pharmacological treatments and guideline review
- 12 Pharmacological treatment of psychosis and depression in neurological disease in older adults
- 13 Psychological treatments of alcohol use disorders
- 14 Pharmacotherapy of alcohol misuse, dependence and withdrawal
- 15 Educational interventions for alcohol use disorders
- 16 Complex interventions for alcohol use disorders
- 17 Complementary and alternative medicine for alcohol misuse
- 18 Empirically validated psychological therapies for drug dependence
- 19 Treatment of stimulant dependence
- 20 Treatment of opioid dependence
- 21 Treatment of sedative-hypnotic dependence
- 22 Treatment of cannabis dependence
- 23 Treatment of nicotine dependence
- 24 Treatment of co-occurring psychiatric and substance use disorders
- 25 Pharmacological treatments for schizophrenia
- 26 Psychosocial and pharmacological treatments for schizophrenia
- 27 Psychopharmacology of mood disorders
- 28 Efficacy of brain stimulation and neurosurgical procedures for treatment of mood disorders
- 29 Psychotherapy for depression: current empirical status and future directions
- 30 Alternative therapies for mood disorders
- 31 Treatment of generalised anxiety and somatoform disorders
- 32 Panic disorder
- 33 Specific phobias and agoraphobia
- 34 Social phobia
- 35 Obsessive-compulsive disorder
- 36 Post-traumatic stress disorders and adjustment disorders
- 37 Psychopharmacology of eating disorders
- 38 Other somatic physical treatments and complex interventions for eating disorders
- 39 Psychological treatments for eating disorders
- 40 Educational interventions for eating disorders
- 41 Alternative treatments for eating disorders
- 42 Complex treatments for eating disorders
- 43 Personality disorder
- 44 Other treatments for persistent disturbances of behaviour
- 45 Effectiveness of treatments of sexual disorders
- 46 Disorders of gender identity
- 47 Psychological treatments for children and adolescents
- 48 Drugs and other physical treatments
- 49 Educational interventions and alternative treatments
- 50 Attachment insecurity and attachment disorder
- 51 Feeding and sleeping disorders in infancy and early childhood
- 52 Evaluating interventions for children with autism and intellectual disabilities
- 53 ADHD and hyperkinetic disorder
- 54 Oppositional defiant disorder and conduct disorder
- 55 Treatment of depressive disorders in children and adolescents
- 56 Treatment of psychoses in children and adolescents
- 57 Anxiety disorders
- 58 Treatment of eating disorders in children and adolescents
- Appendix I Summary of specific drugs having evidence of effectiveness in mental disorders
- Appendix II Key to effectiveness tables
- Index
- References
22 - Treatment of cannabis dependence
from Part III - Specific treatments
Published online by Cambridge University Press: 12 May 2010
- Frontmatter
- Contents
- List of contributors
- Preface
- Part I Introduction
- Part II Summary of treatment modalities in psychiatric disorders
- Part III Specific treatments
- 9 Delirium
- 10 Management of behavioural and psychological symptoms of dementia and acquired brain injury
- 11 Dementia: pharmacological and non-pharmacological treatments and guideline review
- 12 Pharmacological treatment of psychosis and depression in neurological disease in older adults
- 13 Psychological treatments of alcohol use disorders
- 14 Pharmacotherapy of alcohol misuse, dependence and withdrawal
- 15 Educational interventions for alcohol use disorders
- 16 Complex interventions for alcohol use disorders
- 17 Complementary and alternative medicine for alcohol misuse
- 18 Empirically validated psychological therapies for drug dependence
- 19 Treatment of stimulant dependence
- 20 Treatment of opioid dependence
- 21 Treatment of sedative-hypnotic dependence
- 22 Treatment of cannabis dependence
- 23 Treatment of nicotine dependence
- 24 Treatment of co-occurring psychiatric and substance use disorders
- 25 Pharmacological treatments for schizophrenia
- 26 Psychosocial and pharmacological treatments for schizophrenia
- 27 Psychopharmacology of mood disorders
- 28 Efficacy of brain stimulation and neurosurgical procedures for treatment of mood disorders
- 29 Psychotherapy for depression: current empirical status and future directions
- 30 Alternative therapies for mood disorders
- 31 Treatment of generalised anxiety and somatoform disorders
- 32 Panic disorder
- 33 Specific phobias and agoraphobia
- 34 Social phobia
- 35 Obsessive-compulsive disorder
- 36 Post-traumatic stress disorders and adjustment disorders
- 37 Psychopharmacology of eating disorders
- 38 Other somatic physical treatments and complex interventions for eating disorders
- 39 Psychological treatments for eating disorders
- 40 Educational interventions for eating disorders
- 41 Alternative treatments for eating disorders
- 42 Complex treatments for eating disorders
- 43 Personality disorder
- 44 Other treatments for persistent disturbances of behaviour
- 45 Effectiveness of treatments of sexual disorders
- 46 Disorders of gender identity
- 47 Psychological treatments for children and adolescents
- 48 Drugs and other physical treatments
- 49 Educational interventions and alternative treatments
- 50 Attachment insecurity and attachment disorder
- 51 Feeding and sleeping disorders in infancy and early childhood
- 52 Evaluating interventions for children with autism and intellectual disabilities
- 53 ADHD and hyperkinetic disorder
- 54 Oppositional defiant disorder and conduct disorder
- 55 Treatment of depressive disorders in children and adolescents
- 56 Treatment of psychoses in children and adolescents
- 57 Anxiety disorders
- 58 Treatment of eating disorders in children and adolescents
- Appendix I Summary of specific drugs having evidence of effectiveness in mental disorders
- Appendix II Key to effectiveness tables
- Index
- References
Summary
Editor's note
Cannabis usage is often thought not to be a problem, and recent reclassifications of the drug in the UK and groups pushing for the legalization of marijuana encourage usage. This is unfortunate because cannabis usage is often problematic. A dependency syndrome can develop, and then withdrawal symptoms can complicate the efforts to stop using the substance. There are many medical and mental health problems that occur with chronic cannabis usage, and these include, most seriously, psychoses (see Chapter 26) problems with memory, motivation, psychomotor coordination, irritability, anxiety, and a host of other psychological difficulties. Pulmonary problems can occur because of the smoking of the substance. Yet, despite the problems inherent in chronic usage and despite the large number of people who probably have developed dependency on the substance, there remains very little in the way of effective interventions. There are not enough trials to even attempt a meta-analysis of interventions. There are really no good pharmacologic interventions. Cognitive-behavioural therapy, enhanced by contingency management techniques such as the use of vouchers, seems most effective. There is some evidence that the longer the length of exposure to these behavioural interventions, the greater the chance of success in being able to stop using the substance.
Introduction
Cannabis use remains the most prevalent form of illicit drug use in English speaking countries and the European Union, and its use is believed to be high in other countries where epidemiological data are not available (European Monitoring Centers for Drugs and Drug Addiction, 2003; Hall et al. 1999; SAMSHA, 2002).
- Type
- Chapter
- Information
- Cambridge Textbook of Effective Treatments in Psychiatry , pp. 413 - 421Publisher: Cambridge University PressPrint publication year: 2008