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.
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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
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.
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.
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.
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.
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.
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.
Goerke D, Kumra S. Substance abuse and psychosis. Child Adolesc Psychiatr Clin N Am. 2013;22(4):643–54.
Parakh P, Basu D. Cannabis and psychosis: have we found the missing links? Asian J Psychiatr. 2013;6:281–7.
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.
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VanDeusen, T. (2018). Transition in the Weeds: Heading to College with a Cannabis Use Disorder. In: Martel, A., Derenne, J., Leebens, P. (eds) Promoting Safe and Effective Transitions to College for Youth with Mental Health Conditions. Springer, Cham. https://doi.org/10.1007/978-3-319-68894-7_18
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DOI: https://doi.org/10.1007/978-3-319-68894-7_18
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