I have a brief update to give on the last blog, which talked about the website/app Hims. It was reported to me that a person doesn’t even see a doctor on that site and can get antidepressant medication. The update that was given this week is that there is a texting conversation with the doctor before the prescription is written. No at all ideal, but slightly better than just a self-survey.

I’ve learned something new in the past few months. It’s now come up twice. A friend of mine is a psychiatrist (for those who don’t know the distinction, a psychiatrist has attended medical school and has received extra training in mental disorders and medication) explained to me that many people suffering with Bipolar Disorder cannot tolerate marijuana AT ALL. He said it causes a higher incidence of paranoid psychosis for this group than for the general population. He told me to pass along to all of you that if you have Bipolar Disorder, you should NEVER use marijuana.

Let me give a short clarification on what Bipolar Disorder is. Many people have a misunderstanding because the term “bipolar” is used as slang for mood swings. Bipolar Disorder is a difficult mental illness for someone to live with. It causes times of mania or hypomania, which means periods of little to no needed sleep with some combination of euphoria, anger/agitation, impulsive decision-making, sexually irresponsible behavior, rapid speech and/or thoughts, and grandiose ideas. These periods are followed by a marked and profound period of depression. The depression is intense and miserable. One client described it to me as “mashed potatoes. It’s as though everything has the color of mashed potatoes and the flavor of mashed potatoes. The world is devoid of life.” The depression can last for years on and off without any interruping mania for some. The pattern and timing of depression and mania varies from person to person.

I’m sure you can understand that someone dealing with the unpredictability of Bipolar Disorder might be drawn to marijuana. However, it is understood to be something that will destabilize the Bipolar Disorder over time and can even add in psychosis. The bottom line: It’s not worth the risk. By the way, I’m not a fan of it for others either. I know that alienates some of you, but the long-term effects of cannabis just don’t justify the short-term pleasures.

Helping teens grow and families improve connection,
Lauren Goodman, MS, MFT