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Integrative Approach to Cannabis-Use Disorder 

Integrative Approach to Cannabis-Use Disorder
Chapter:
Integrative Approach to Cannabis-Use Disorder
Author(s):

Itai Danovitch

, and Shahla J. Modir

DOI:
10.1093/med/9780190275334.003.0006
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date: 01 June 2020

Recreational cannabis use is widespread, with estimates of 2.8% to 4.5% of the world population having used in the past year, and many more having used over their lifetimes. While most occasional users do not suffer any consequences, among persons who have ever used cannabis, approximately 9% will develop a cannabis-use disorder at some point in their lives, and 1.8% will meet diagnostic criteria for cannabis-use disorder within the past year. Several interventions are available to treat cannabis-use disorder. Psychotherapy, delivered individually as well as in groups, is the most well-established treatment approach. Several medications may offer benefit, though evidence supporting their role is weak. Integrative treatment approaches also show promise, notwithstanding a paucity of evidence. This chapter reviews the current understanding of cannabis-use disorder, including diagnosis, epidemiology, neurobiology, and treatment. Psychotherapeutic, medication, and integrative interventions are reviewed, with a particular focus on integrative approaches.

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