{"id":41046,"date":"2026-02-17T15:48:10","date_gmt":"2026-02-17T15:48:10","guid":{"rendered":"https:\/\/www.veriheal.com\/blog\/?p=41046"},"modified":"2026-03-27T08:04:07","modified_gmt":"2026-03-27T12:04:07","slug":"what-is-cannabis-use-disorder","status":"publish","type":"post","link":"https:\/\/www.veriheal.com\/blog\/what-is-cannabis-use-disorder\/","title":{"rendered":"What Exactly Is Cannabis Use Disorder?"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">If you\u2019ve read any cannabis studies recently, you may have seen the term \u201ccannabis use disorder.\u201d Its use has become more widespread in recent years. First mentioned in the fifth edition of the <\/span><span style=\"font-weight: 400;\">Diagnostic and Statistical Manual of Mental Disorders (DSM-5) in 2013, healthcare providers generally diagnose the condition when patients continue cannabis use despite negative effects.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">While we don\u2019t know exactly how many people have the disorder, experts estimated that around <\/span><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC8655458\/#:~:text=Global%20data%20on%20CUD%20are%20incomplete%2C%20but%20according%20to%20the%20most%20recent%20global%20estimate%2022.1%20million%20persons%20met%20diagnostic%20criteria%20for%20CUD%20in%202016%20(289.7%20cases%20per%20100%2C000%20people)6.\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">22.1 million people<\/span><\/a><span style=\"font-weight: 400;\"> fit the criteria for CUD in 2016. But cannabis use, habits, and impacts are all subjective (not to mention, the cannabis scene has changed quite a bit in the last ten years). <\/span><\/p>\n<p><span style=\"font-weight: 400;\">So what does the diagnosis really mean?\u00a0<\/span><span style=\"font-weight: 400;\">Let\u2019s take a closer look:<\/span><\/p>\n<h2><b>How Is Cannabis Use Disorder Diagnosed?<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">According to the DSM-5, a <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK538131\/#:~:text=As%20expected%2C%20cannabis,Go%20to%3A\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">CUD diagnosis<\/span><\/a><span style=\"font-weight: 400;\"> requires \u201cclinically significant impairment or distress in 12 months,\u201d including at least two of the following 11 scenarios:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Use of cannabis in larger amounts or in a longer period of time than originally intended<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Persistent failed attempts to cut down on use<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Excessive time spent getting, using, or recovering from the effects of cannabis\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Cannabis cravings<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Neglecting social obligations due to recurrent use<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Continued use even when it causes social or interpersonal problems\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Neglecting social, occupational, or recreational activities in favor of using cannabis\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Continuing to use cannabis despite physical harm\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Continuing to use cannabis despite negative physical or psychological effects<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Tolerance<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Withdrawal symptoms when not consuming\u00a0<\/span><\/li>\n<\/ul>\n<h2><b>Cannabis Use Disorder Diagnostic Accuracy\u00a0<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">As we mentioned above, the way people use cannabis and the impacts it has on their lives are subjective. This can make accurately diagnosing cannabis use disorder a challenge, according to some experts.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Tammy Chung, director of the Center for Population Behavioral Health at Rutgers Institute for Health, Health Care Policy and Aging Research, says one of the biggest challenges in accurately diagnosing CUD is separating \u201cproblem use\u201d from therapeutic use.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In a <\/span><a href=\"https:\/\/www.rutgers.edu\/news\/can-cannabis-use-disorder-be-accurately-diagnosed#:~:text=The%20manual%E2%80%99s%20diagnosis%20of%20cannabis%20use%20disorder%20requires%20an%20individual%20to%20meet%20only%20two%20or%20more%20of%2011%20criteria.\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Rutgers article, she says<\/span><\/a> <span style=\"font-weight: 400;\">that \u201cThe manual\u2019s diagnosis of cannabis use disorder requires an individual to meet only two or more of 11 criteria. These criteria might include only increased tolerance for cannabis and withdrawal symptoms, which are commonly reported by individuals who use cannabis for therapeutic reasons.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">People who use cannabis for medical reasons may find themselves meeting the criteria for CUD, without any other signs that their cannabis habits are problematic. Additionally, Dr. Olalekan Otulana MBChB, DRCOG, MRCGP, DFSRH, FRSPH, MBA, an advanced addiction medicine practitioner, tells us that the self-reported, subjective nature of CUD diagnoses can be challenging, too.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Dr. Otulana says, \u201cPatients may not always present openly about their use, especially if they don\u2019t see it as an issue so a lot depends on how well the clinician builds rapport and asks the right questions,\u201d he said. \u201cWhile the criteria are useful, they\u2019re still quite clinical, so they don\u2019t always capture the nuances of how cannabis use fits into someone\u2019s wider mental health, social context, and coping mechanisms. [Diagnostic criteria] is effective as a starting point but they should always be paired with clinical judgement. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">The challenges of accurate diagnosis go beyond individual care. Researchers use CUD as criteria in various studies, which can bring into question the accuracy of the study itself. For example, a recent study found that people with CUD were about <\/span><a href=\"https:\/\/www.health.harvard.edu\/heart-health\/marijuana-use-disorder-may-raise-the-risk-of-heart-problems#:~:text=.%20Researchers%20found%20that%20compared%20to%20people%20without%20CUD%2C%20those%20with%20CUD%20were%20about%2060%25%20more%20likely%20to%20experience%20a%20heart%20attack%2C%20stroke%2C%20or%20other%20cardiovascular%20problems.\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">60% more likely<\/span><\/a><span style=\"font-weight: 400;\"> to have a heart attack, stroke, or other heart problem than compared to those without the diagnosis.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">But given what we know about the diagnostic challenges associated with CUD, it\u2019s difficult to gauge the habits of those involved in the study. This highlights a need for more thorough research on the topic.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Veriheal medical reviewer and lead cannabis educator, <\/span><a href=\"https:\/\/www.veriheal.com\/blog\/authors\/abraham-benavides\/\"><span style=\"font-weight: 400;\">Dr. Abraham Benavides, MD<\/span><\/a><span style=\"font-weight: 400;\">, also points out how, \u201cA fundamental problem is that there isn\u2019t a simple diagnosis code for regular or routine medical cannabis use. This confounds study results because right now, providers have no way of simply documenting a patient\u2019s responsible cannabis use as part of their life or treatment plan without saying it\u2019s problematic. Many issues in research and practice can be solved by having a separate ICD code for non-problematic cannabis use.\u201d<\/span><\/p>\n<h2><b>Who Is At Risk for Cannabis Use Disorder?<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">The <\/span><a href=\"https:\/\/www.cdc.gov\/cannabis\/risk-factors\/cannabis-use-disorder.html#cdcreference_3:~:text=The%20risk%20of%20developing%20cannabis%20use%20disorder%20is%20greater%20in%20people%20who%20start%20using%20cannabis%20during%20youth%20or%20adolescence%20and%20who%20use%20cannabis%20more%20frequently.3\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Centers for Disease Control (CDC) says<\/span><\/a><span style=\"font-weight: 400;\"> that people who start using cannabis during their youth or adolescence, and those who use cannabis more frequently, are more likely to develop a cannabis use disorder.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The organization also suggests that there could be a potential correlation between the use of high-THC products and developing CUD, but notes that <\/span><a href=\"https:\/\/www.cdc.gov\/cannabis\/risk-factors\/cannabis-use-disorder.html#:~:text=Researchers%20do%20not,131415\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">researchers do not yet know<\/span><\/a><span style=\"font-weight: 400;\"> the full extent of the potential correlation.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">But even defining \u201cheavy use\u201d can present challenges. Generally, heavy use is defined as some form of daily or near-daily consumption. For example, the <\/span><a href=\"https:\/\/cannabis.colorado.gov\/additional-health-effects-for-adults#:~:text=Heavy%20use%20is%20defined%20as%20daily%20or%20near%20daily%20cannabis%20use.\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Colorado government\u2019s cannabis education materials<\/span><\/a><span style=\"font-weight: 400;\"> define heavy use as daily or near-daily cannabis use. A <\/span><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC7027478\/#:~:text=This%20narrative%20review%20summarizes%20our%20knowledge%20of%20the%20relation%20between%20heavy%20cannabis%20use%20%5Bdefined%20as%20(near)%20daily%20use%5D%2C%20cannabis\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">2019 narrative review<\/span><\/a><span style=\"font-weight: 400;\"> evaluating the way cannabis impacts the brain defines heavy use as (near) daily use, as well.\u00a0<\/span><\/p>\n<h2><b>Addiction or Disorder?<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">The Cleveland Clinic states that CUD can be mild, moderate or severe, and notes that addiction is the <\/span><a href=\"https:\/\/my.clevelandclinic.org\/health\/diseases\/cannabis-use-disorder#:~:text=Marijuana%20(cannabis)%20use%20disorder%20can%20be%20mild%2C%20moderate%20or%20severe.%20Marijuana%20addiction%20is%20the%20most%20severe%20form%20of%20the%20disorder.\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">most severe form<\/span><\/a><span style=\"font-weight: 400;\"> of the disorder. They state that \u201caddiction to marijuana happens when the reward system in your brain takes over and amplifies compulsive marijuana-seeking.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">This may be a shock to some who have been told \u201cyou can\u2019t get addicted to weed.\u201d But we\u2019ve talked about it before\u2014<\/span><a href=\"https:\/\/www.veriheal.com\/blog\/is-weed-addictive\/#:~:text=Can%20you%20get%20addicted%20to%20weed%3F%20Without%20mincing%20words%2C%20the%20answer%20is%20a%20clear%20yes.%20Marijuana%20can%20become%20addictive%20depending%20on%20many%20factors%2C%20which%20include%20an%20early%20age%20of%20first%20use%2C%20high%20frequency%20of%20use%2C%20or%20existing%20mental%20health%20issues.\"><span style=\"font-weight: 400;\">cannabis can be addictive <\/span><\/a><span style=\"font-weight: 400;\">based on many factors, including early first-use age, frequent use, socioeconomic status, and existing mental health conditions. In general, <\/span><span style=\"font-weight: 400;\">adolescents and males<\/span><span style=\"font-weight: 400;\"> are the most prone to cannabis dependence or addiction.<\/span><\/p>\n<h4 style=\"text-align: center;\">READ MORE: <a href=\"https:\/\/www.veriheal.com\/blog\/cannabis-across-life-teens\/\">Cannabis Across Life: Teens<\/a><\/h4>\n<p><span style=\"font-weight: 400;\">About <\/span><a href=\"https:\/\/www.yalemedicine.org\/conditions\/marijuana-use-disorder#:~:text=life%20and%20health-,%E2%80%A2,10%20percent%20of%20people%20who%20begin%20smoking%20cannabis%20will%20become%20addicted,-%E2%80%A2\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">10% of cannabis users<\/span><\/a><span style=\"font-weight: 400;\"> will eventually go on to develop an addiction. While some people diagnosed with CUD may have a mild or moderate form, other users\u2019 habits may be considered more severe and qualify as an addiction.\u00a0<\/span><\/p>\n<h2><b>Treatment for Cannabis Use Disorder\u00a0<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Those with a CUD diagnosis must decide for themselves if the condition requires intervention. It\u2019s possible that other factors, such as using cannabis for medical purposes, may lead users to meet the criteria for the disorder without exhibiting any signs of negative impacts from their use.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">For those who do notice negative impacts from their cannabis habits, a CUD diagnosis can help them to move toward a treatment plan. <\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/39151799\/#:~:text=Results%3A%20Of,are%20also%20needed.\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">CUD often co-occurs<\/span><\/a><span style=\"font-weight: 400;\"> with other substance abuse or mental health conditions for complicated reasons, which can be serious and also require additional treatment.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">While there is no specific treatment suggested for the disorder, clinical trials have found that a focus on psychotherapy treatments (motivational enhancement therapy, cognitive behavioral therapy, and contingency management) may be <\/span><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC4880536\/#:~:text=Clinical%20trials%20of,barriers%20to%20treatment.\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">an effective option<\/span><\/a><span style=\"font-weight: 400;\">.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Additionally, medications like <\/span><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC8655458\/#:~:text=Table%203%20%7C.,and%20substance%20dependence.\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">N-acetylcysteine and gabapentin<\/span><\/a><span style=\"font-weight: 400;\"> show promise as an additional option for treatment. These may work <\/span><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC8655458\/#S27:~:text=CBT%20and%20MET%20have,(TABLE%202).\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">best when combined<\/span><\/a><span style=\"font-weight: 400;\"> with psychotherapy options, like CBT.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>If you\u2019ve read any cannabis studies recently, you may have seen the term \u201ccannabis use disorder.\u201d Its use has become more widespread in recent years. First mentioned in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) in 2013, healthcare providers generally diagnose the condition when patients continue cannabis use despite&#8230;<\/p>\n","protected":false},"author":109,"featured_media":41047,"parent":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[17851,259],"tags":[2289,19115,19116,2290,19117],"class_list":["post-41046","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health-and-wellness","category-research","tag-cannabis-use-disorder","tag-cannabis-use-disorder-symptoms","tag-cannabis-use-disorder-treatment","tag-cud","tag-medically-reviewed"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v26.1 (Yoast SEO v26.1.1) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Cannabis Use Disorder: Symptoms and Treatment Guide<\/title>\n<meta name=\"description\" content=\"Learn more about cannabis use disorder: how it is diagnosed, how it can be treated, and warning signs for patients who may be developing it.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.veriheal.com\/blog\/what-is-cannabis-use-disorder\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"What Exactly Is Cannabis Use Disorder?\" \/>\n<meta property=\"og:description\" content=\"Learn more about cannabis use disorder: how it is diagnosed, how it can be treated, and warning signs for patients who may be developing it.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.veriheal.com\/blog\/what-is-cannabis-use-disorder\/\" \/>\n<meta property=\"og:site_name\" content=\"Cannabis Central\" 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