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In summary, the natural decline of adolescent substance use among teens during COVID seems to be holding. When fewer teens initiate use, fewer become addicted and suffer the consequences of use.
Now for the not so great news. Of the teens that have initiated cannabis use, the high potency THC products are the cannabis of choice which present unique risks. These high potency products include "carts" that are used in vaporizers (they look like nicotine vaporizers) and in edibles with THC content of 60 to 94 %. In comparison, the typical "Flower" or "Bud" plant cannabis is approximatly 8 to 12% THC. Further, THC edibles AND vaporizers do not smell and therefore detection in schools and at home is very challenging for adults attempting to supervise teens.
These risks include rapid addiction and an increase in psychiatric symptoms in of depression, anxiety and panic attacks and psychosis (Ricci, De Berardis, et. al, 2024). Teens often believe that THC helps with anxiety and depression and in the short term they may feels some relief that then stops. THC then causes spikes in anxiety and depression and cessation often causes cyclical vomiting and dramatic short term spikes in psychiatric symptoms.
In talking with many school based clinicians and administrators the problem of the impact of high potency THC is a real concern. Teens and many of their parents simply do not know the risks. In next months newsletter I will share part of a curricum for health teachers/ staff to help teens understand these risks.
If we can get tweens and teens to understand the risks of "vaping" weed and using edibles we may be able to retain the first sustained reduction in teens substance use in over 25 years!
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