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Advances in Psychiatric Treatment (2006) 12: 432-439
© 2006 The Royal College of Psychiatrists

Interventions for cannabis misuse

Clementine Maddock and Michelle Babbs

Clementine Maddock is a specialist registrar at the Maudsley Hospital (Denmark Hill, London SE5 8AZ, UK. Email: c.maddock{at}iop.kcl.ac.uk) training in general adult and addiction psychiatry. She has published research on the assessment of mental capacity, psychiatric side-effects of hepatitis C, and dual diagnosis. Her current interests include interventions for substance misuse. Michelle Babbs is a clinical psychologist at the Lambeth Cannabis Clinic in London. She has an interest in developing psychological interventions for cannabis users in the UK.

Cannabis is the most commonly used illicit drug in the UK and a significant proportion of users have symptoms of dependence. In addition, there are a number of adverse consequences of use, including an association with psychotic disorders. Thus there is a need for effective treatment of cannabis misuse. Psychological therapies have been developed based on principles of motivational interviewing, cognitive–behavioural therapy and relapse prevention. The evidence base for these therapies is explored in this review, and studies targeting both adult users and young people are considered. Possible new pharmacological treatments are also discussed.




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