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The Rise of Cannabis Use Disorder Amid Legalization

11/26/2025, 9:15:11 AM

Increasing Normalization and Potency of Cannabis Use

As marijuana legalization expands across the United States, its use has become increasingly normalized, particularly among young adults. A federally supported survey indicates that daily marijuana use among this demographic has surged, with nearly 18 million Americans reporting daily or near-daily consumption in 2022, a significant increase from less than 1 million three decades earlier. This rise in usage correlates with a growing prevalence of cannabis use disorder, which affects approximately 3 in 10 pot users. Cannabis use disorder is characterized by cravings and continued use despite negative consequences in various aspects of life, including home, school, and work.

The Impact of Legalization on Health and Treatment

The legalization of recreational marijuana has led to increased availability and potency of cannabis products. Currently, 24 states permit recreational use, while 40 allow medical use. The National Institute on Drug Abuse reports that THC levels in cannabis products can reach 40% or more, a stark contrast to the less than 5% THC found in marijuana from the 1960s. This heightened potency has been linked to a rise in emergency room visits for acute cannabis intoxication, particularly among middle-aged adults. Experts, including Dr. Smita Das, attribute this trend to the combination of increased access, a wider variety of products, and higher potency levels.

Stigma and Barriers to Treatment

Despite the growing recognition of cannabis use disorder, many individuals do not seek help due to stigma and misconceptions surrounding marijuana. Dr. Jennifer Exo of the Hazelden Betty Ford Foundation notes a pervasive belief that cannabis cannot lead to addiction, which discourages individuals from acknowledging their struggles. Research indicates a decline in treatment for cannabis use disorder, with the percentage of individuals receiving help dropping from 19% in 2003 to 13% in 2019. This trend highlights the need for increased education about the potential harms of cannabis, similar to the awareness surrounding alcohol misuse.

Personal Accounts and the Path to Recovery

Megan Feller, who struggled with cannabis use disorder, illustrates the challenges many face. Initially dismissing her dependence on marijuana, Feller's use escalated to the point where she could not function without it. After several unsuccessful attempts at treatment, she eventually sought help specifically for cannabis use disorder and has been sober for nearly a year. Feller emphasizes the importance of recognizing when substance use begins to interfere with life, stating, “If you’re changing your life because of weed, there might be an issue.”

Conclusion: The Need for Awareness and Support

Experts advocate for greater awareness regarding the risks associated with cannabis use, particularly as legalization continues to spread. They stress the importance of educating individuals about the potential for misuse and the availability of treatment resources. As attitudes towards cannabis evolve, it is crucial for society to foster an environment where individuals feel safe to seek help for their substance use issues.