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Transition in the Weeds: Heading to College with a Cannabis Use Disorder

  • Timothy VanDeusen
Chapter

Abstract

Cannabis is one of the most common drugs used by college students and carries multiple risks for those who are vulnerable to other psychiatric disorders. This chapter describes an 18-year-old college freshman who has been using marijuana throughout high school and has been diagnosed with anxiety, depression, and ADHD. He was hospitalized in the summer before college matriculation with psychosis, most likely precipitated by large amounts of high potency cannabis smoked in a 3-day binge. After a few weeks into the semester, he became anxious and depressed while denying cannabis use. He was able to complete the semester after withdrawing from two classes, but did not return to college. The case discussion highlights the need for transition planning involving the patient and parents, careful treatment planning between referring and accepting providers, and greater knowledge of campus mental health services. Many suggestions and resources are provided which can lead to a successful transition for patients suffering from cannabis use disorder and comorbid psychiatric disorders.

Keywords

Cannabis use disorder in college Marijuana in college students Substance use disorders on campus Cannabis and comorbid psychiatric disorders Intensive Outpatient Program for substance use disorders 12-step programs for college students Campus accommodations and Transitional Age Youth (TAY) 

References

  1. 1.
    Johnston LD, O’Malley PM, Bachman JG, Schulenberg JE, Miech RA. Monitoring the Future national survey results on drug use, 1975–2015: Volume College students and adults ages 19–55. Ann Arbor: Institute for Social Research, The University of Michigan; 2016. http://www.monitoringthefuture.org/pubs/monographs/mtf-vol2_2015.pdf
  2. 2.
    Lee CM, Kilmer JR, Neighbors C, Atkins DC, Zheng C, Walker DD, Larimer ME. Indicated prevention for college student marijuana use: a randomized controlled trial. J Consult Clin Psychol. 2013;81(4):702–9.CrossRefPubMedPubMedCentralGoogle Scholar
  3. 3.
    El Sohly MA, Mehmedic Z, Foster S, Gon C, Chandra S, Church JC. Changes in cannabis potency over last two decades (1995–2014) analysis of current data in United States. Biol Psychiatry. 2016;79(7):613–9.CrossRefGoogle Scholar
  4. 4.
    Blanco C, Hasin DS, Wall MM, Florez-Salamanca L, Hoertel N, Wang S, Kerridge BT, Olfson M. Cannabis use and risk of psychiatric disorders: prospective evidence from a US National Longitudinal study. JAMA Psychiatry. 2016;73(4):388–95.CrossRefPubMedGoogle Scholar
  5. 5.
    Hasin DS, Wall M, Keyes KM, Cerdá M, Schulenberg J, O’Malley PM, Galea S, Pacula R, Feng T. Medical marijuana laws and adolescent marijuana use in the USA from 1991 to 2014: results from annual, repeated cross-sectional surveys. Lancet Psychiatry. 2015;2(7):601–8.CrossRefPubMedPubMedCentralGoogle Scholar
  6. 6.
    Lisdahl KM, Wright NE, Medina-Kirchner C, Maple KE, Shollenbarger S. Considering cannabis: the effects of regular cannabis use on neurocognition in adolescents and young adults. Curr Addict Rep. 2014;1:144–56.CrossRefPubMedPubMedCentralGoogle Scholar
  7. 7.
    Aura AM, Caldeira KM, Bugbee BA, Vincent KB, O’Grady KE. The academic consequences of marijuana use during college. Psychol Addict Behav. 2015;29(3):564–75.CrossRefGoogle Scholar
  8. 8.
    Goerke D, Kumra S. Substance abuse and psychosis. Child Adolesc Psychiatr Clin N Am. 2013;22(4):643–54.CrossRefPubMedGoogle Scholar
  9. 9.
    Parakh P, Basu D. Cannabis and psychosis: have we found the missing links? Asian J Psychiatr. 2013;6:281–7.CrossRefPubMedGoogle Scholar
  10. 10.
    Walther L, Gantner A, Heinz A, Majic T. Evidence-based treatment options in cannabis dependency. Dtsch Arztebl Int. 2016;113(39):653–9.  https://doi.org/10.3238/arztebl.2016.0653.CrossRefPubMedPubMedCentralGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of PsychiatryConnecticut Mental Health Center, Yale School of MedicineWest HavenUSA

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