Clinical

Addiction

A chronic, relapsing disorder characterized by compulsive drug seeking and use despite negative consequences. Involves neuroadaptations in reward, stress, and executive function circuits.

In Depth

Cannabis addiction (cannabis use disorder) affects approximately 9% of lifetime users. The neurobiological basis involves THC-induced dopamine release in the nucleus accumbens, followed by neuroadaptations that reduce reward sensitivity and increase stress reactivity. The ECS is also implicated in addiction to other substances — endocannabinoid signaling modulates the rewarding effects of opioids, alcohol, and nicotine. CBD has shown promise for reducing cravings in opioid and tobacco addiction in early clinical trials.

Further Reading