Problematic pattern of use, leading to clinically significant impairment or distress, manifested by at least 2 of the following, occurring within a 12-month period: |
• The substance is taken in larger amounts or over a longer period than was intended. |
• Persistent desire or unsuccessful effort to cut down or control use. |
• Great deal of time spent obtaining, using, or recovering from the effects of cannabis. |
• Craving, or a strong desire or urge to use cannabis. |
• Rucurrent use resulting in failure to fulfill major obligations at work, school, or home. |
• Continued use despite having persistent or recurrent social or interpersonal problems caused by or exacerbated by the effects of use. |
• Giving up or reducing important social, occupational, or recreational activities because of use. |
• Recurrent use in situations that could be physically hazardous. |
• Continued use despite knowledge of having a persistent or recurrent physical or psychological problem caused by or exacerbated by use. |
• Need for markedly increased amounts of the substance to achieved intoxication or desired effect; or diminished effect with continued use of the same amount. |
• Characteristic withdrawal syndrome for the substance (see below); or the substance is taken to relieve or avoid withdrawal symptoms. |
Severity indicators: |
2-3 criteria met = Mild |
4-5 criteria met = Moderate |
6 or more criteria = Severe |
Cannabis withdrawal syndrome symptom checklist (3 or more): |
1. irritability, anger, or agression |
2. nervousness or anxiety |
3. trouble sleeping |
4. appetite or weight loss |
5. resltessness |
6. feeling depressed |
7. significant discomfort from one of the following: stomach pain, tremors or shakes, sweating, hot flashes, chills, headaches |