Cannabis Use Disorder (CUD)

CUD is a problematic pattern of cannabis use leading to clinically significant impairment or distress, as manifested by at least TWO of the following, occurring within a 12-MONTH period.

  1. Cannabis is often taken in larger amounts or for longer periods than intended

  2. There is a persistent desire or unsuccessful efforts to cut down or control cannabis use

  3. Much time spent in activities necessary to obtain cannabis, use cannabis or recover from its effects

  4. Craving, or strong desire or urge to use cannabis

  5. Recurrent cannabis use resulting in a failure to fulfill obligations at work, school or home

  6. Continued cannabis use despite persistent or recurrent social or interpersonal problems caused or exacerbated by the effects of cannabis

  7. Important social, occupational, or recreational activities are given up or reduced because of cannabis use

  8. Recurrent cannabis use in situations in which it is physically hazardous

  9. Cannabis use is continued despite knowledge of having a persistent or recurrent physical or psychological problem that is likely to have been caused or exacerbated by cannabis

  10. Tolerance (i.e. a need for increased amounts to achieve desired effect OR diminished effect with same amount of cannabis)

  11. Withdrawal (see below)

The Severity of CUD is based on the number of symptoms present. “Mild” (2-3 symptoms), “Moderate” (4-5) or “Severe” (6 or more)

Prevalence of CUD in the United States is highest in those 18-29 years old (7%) and lowest in those over 45 (0.8%)

The Cannabis Use Disorder Identification Test (CUDIT)

CUDIT is a short screening scale used to identify problems related to the use of cannabis. Screening scales can identify risk factors and guide further treatment.

Very often, patients do not realize how much their cannabis use is interfering with their lives and impacting function at work, at home and in relationships.

Asking individuals to complete CUDIT may increase awareness of how cannabis is more damaging to their overall health than they had previously realized.