Medically Reviewed By
On December 16, 2024
Written By
On December 16, 2024
Marijuana withdrawal, while generally less severe than withdrawals from substances like opioids or alcohol, can still present real challenges for people choosing to stop cannabis use. As marijuana has become increasingly mainstream and legalized in many areas, there’s growing recognition that regular cannabis use can lead to dependence and subsequent withdrawal symptoms when stopping. While these symptoms are rarely dangerous or life-threatening, they can be uncomfortable and disruptive to your life.
Cannabis use disorder is a clinically recognized condition characterized by problematic patterns of marijuana use that significantly impact daily functioning.[1] According to the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), this condition occurs when someone continues to use cannabis despite experiencing negative consequences in their personal, professional, or social life.
People with cannabis use disorder often find themselves using larger amounts of marijuana than intended, spending considerable time obtaining and using the drug, and experiencing cravings when not using. They may make multiple unsuccessful attempts to cut down or quit, continue using despite knowing it’s causing physical or psychological problems, and develop tolerance – needing more cannabis to achieve the same effects. Individuals with cannabis use disorder may need professional assistance to overcome problematic marijuana use.
The severity of cannabis use disorder can vary from mild (2-3 symptoms), moderate (4-5 symptoms), or severe (6 or more symptoms). Risk factors for developing it include starting cannabis use during adolescence, daily or near-daily use, and using high-potency cannabis products.[2]
Tolerance is a natural biological process where the body adapts to regular cannabis use, requiring increasingly larger amounts to achieve the same effects previously experienced with smaller doses.[3] This phenomenon occurs as your brain’s cannabinoid receptors become less sensitive to THC, the primary psychoactive compound in marijuana.
When you consistently use cannabis, your body works to maintain balance by adjusting its endocannabinoid system.[4] This adjustment means that the same amount of marijuana that once produced strong effects – such as relaxation, euphoria, or pain relief – gradually becomes less effective. Frequent cannabis users often report needing to smoke more frequently or use higher-potency products to achieve their desired results.
Cannabis withdrawal is a collection of physical and psychological symptoms that can occur when someone who regularly uses marijuana stops or significantly reduces their consumption.[5] While these symptoms are generally less severe than withdrawals from substances like alcohol or opioids, they can still be challenging and impact daily functioning.
Common withdrawal symptoms include irritability, sleep disturbances, decreased appetite, anxiety, restlessness, and intense cravings for cannabis. These symptoms typically begin within 24-72 hours after last use, peak within the first week, and can last anywhere from a few days to several weeks.
The duration and intensity of cannabis withdrawal symptoms follow a relatively predictable timeline:[6]
Managing cannabis withdrawal effectively combines practical strategies with proper support systems. The foundation of successful withdrawal management often starts with lifestyle modifications – regular exercise helps regulate mood and improve sleep while maintaining a balanced diet and staying hydrated can minimize physical discomfort. Creating a structured daily routine, practicing relaxation techniques like meditation, and developing good sleep hygiene are crucial steps in managing withdrawal symptoms.
Professional support can play a vital role in the recovery process. Healthcare providers can offer guidance for severe symptoms, while therapists and counselors help develop coping strategies and address underlying issues. Support groups, both in-person and online, provide valuable connections with others sharing similar experiences. Organizations and support groups offer structured support through regular meetings and programs specifically designed for cannabis users seeking recovery.
Changing your environment and building a strong support network can significantly improve success rates. For example, you might remove cannabis-related items from your living space, create a relaxing bedroom environment, and be open with trusted friends and family about your journey.
Having healthy alternatives ready for managing stress – whether through hobby activities, creative pursuits, or exercise – can help fill the void left by cannabis use. Withdrawal symptoms are temporary, and each day strengthens your ability to maintain long-term changes to your health and overall functioning.
Cannabis withdrawal, while uncomfortable, rarely poses serious health risks, unlike withdrawal from substances such as alcohol or benzodiazepines.[7] The physical and psychological symptoms experienced during marijuana withdrawal are generally mild to moderate and do not typically require medical intervention. Common symptoms like irritability, sleep problems, decreased appetite, and mood changes, while disruptive to daily life, do not cause lasting harm to your body’s systems.
However, in some cases, withdrawal can exacerbate underlying mental health conditions or create temporary challenges that should be monitored. People with a history of anxiety, depression, or other mental health conditions might experience more intense psychological symptoms during withdrawal. Sleep disruption and appetite changes, while temporary, can impact your energy levels and overall ability to function.
If you have pre-existing mental health conditions or experience severe symptoms like persistent depression or anxiety during withdrawal, consulting with a healthcare provider can help ensure a safer, more comfortable recovery process.
Yes, marijuana can be addictive, leading to cannabis use disorder and physical dependence. While not as severe as opioids or benzodiazepines, regular marijuana use can cause the brain’s cannabinoid receptors to adapt to consistent THC exposure.
This adaptation often leads to both physical and psychological symptoms of marijuana withdrawal when stopping use. Common symptoms include mood swings, decreased appetite, sleep disturbances, and cravings. The severity of withdrawal symptoms typically depends on factors like frequency of use and your other health conditions.
Occasional marijuana use rarely leads to significant withdrawal symptoms or substance use disorder. Cannabis withdrawal syndrome typically affects regular users who have developed a dependence on THC. However, even moderate users might experience mild side effects when stopping, particularly if they have co-occurring mental health disorders. The withdrawal timeline and intensity vary based on individual well-being and use patterns.
Unlike some substances that require a medical detox, marijuana withdrawal is rarely life-threatening, making both cold turkey and tapering viable options. The choice often depends on personal circumstances and professional help received. Some treatment centers recommend tapering for long-term recovery, while others support immediate cessation with proper support systems in place. Both outpatient and inpatient treatment programs can help manage the withdrawal process, particularly for those dealing with severe withdrawal symptoms or co-occurring health problems.
During the first week of marijuana withdrawal, many users experience increased anxiety as their brain adjusts to functioning without THC. This is one of the most reported psychological symptoms during detoxification. However, healthcare providers and addiction treatment specialists often note that anxiety typically improves with sustained abstinence. Treatment options like cognitive behavioral therapy and support groups can help manage these symptoms during the withdrawal process.
Yes, most people return to baseline after completing the withdrawal timeline. While the effects of marijuana can temporarily alter brain receptors, these changes aren’t permanent. Physical and psychological symptoms typically resolve within a few weeks to months, though individual experiences vary. A strong support system, including treatment programs and professional help, can significantly improve long-term recovery outcomes.
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[1] Cannabis Use Disorder: What It Is, Symptoms & Treatment. (2024, October 4). Cleveland Clinic. https://my.clevelandclinic.org/health/diseases/cannabis-use-disorder on November 22, 2024
[2] Dugas, E. N., Sylvestre, M.-P., Ewusi-Boisvert, E., Chaiton, M., Montreuil, A., & O’Loughlin, J. (2019). Early Risk Factors for Daily Cannabis Use in Young Adults. Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie, 64(5), 329–337. https://pmc.ncbi.nlm.nih.gov/articles/PMC6591884/ on November 22, 2024
[3] Miller, N. S., Dackis, C. A., & Gold, M. S. (n.d.). The relationship of addiction, tolerance, and dependence to alcohol and drugs: A neurochemical approach. Journal of Substance Abuse Treatment, 4(3), 197–207. https://pubmed.ncbi.nlm.nih.gov/3325655/ on November 22, 2024
[4] Alger, B. E. (2013). Getting High on the Endocannabinoid System. Cerebrum: The Dana Forum on Brain Science, 2013, 14. https://pmc.ncbi.nlm.nih.gov/articles/PMC3997295/ on November 22, 2024
[5] Marijuana (Weed) Withdrawal: Symptoms & Treatment. (2024, October 4). Cleveland Clinic. https://my.clevelandclinic.org/health/diseases/marijuana-weed-withdrawal on November 22, 2024
[6] Connor, J. P., Stjepanović, D., Budney, A. J., Le Foll, B., & Hall, W. D. (2021). Clinical Management of Cannabis Withdrawal. Addiction, 117(7). https://pmc.ncbi.nlm.nih.gov/articles/PMC9110555/ on November 22, 2024
[7] Coughlin, L. (2021, February 1). Weed withdrawal: More than half of people using medical cannabis for pain experience withdrawal symptoms | Psychiatry | Michigan Medicine. Psychiatry. https://medicine.umich.edu/dept/psychiatry/news/archive/202102/weed-withdrawal-more-half-people-using-medical-cannabis-pain-experience-withdrawal-symptoms on November 22, 2024