0:00:06.224,0:00:07.724 In 1970, 0:00:07.724,0:00:13.144 marijuana was classified [br]as a schedule 1 drug in the United States: 0:00:13.144,0:00:15.737 the strictest designation possible, 0:00:15.737,0:00:20.779 meaning it was completely illegal [br]and had no recognized medical uses. 0:00:20.779,0:00:23.529 For decades, this view persisted 0:00:23.529,0:00:28.538 and set back research [br]on the drug's mechanisms and effects. 0:00:28.538,0:00:33.028 Today, marijuana’s therapeutic benefits [br]are widely acknowledged, 0:00:33.028,0:00:36.092 and some nations [br]have legalized medical use 0:00:36.092,0:00:38.482 or are moving in that direction. 0:00:38.482,0:00:42.381 But a growing recognition [br]for marijuana’s medical value 0:00:42.381,0:00:44.081 doesn’t answer the question: 0:00:44.081,0:00:49.095 is recreational marijuana use [br]bad for your brain? 0:00:49.095,0:00:52.805 Marijuana acts [br]on the body’s cannabinoid system, 0:00:52.805,0:00:56.445 which has receptors [br]all over the brain and body. 0:00:56.445,0:01:01.036 Molecules native to the body, [br]called endocannabinoids, 0:01:01.036,0:01:03.696 also act on these receptors. 0:01:03.696,0:01:07.471 We don’t totally understand [br]the cannabinoid system, 0:01:07.471,0:01:12.137 but it has one feature [br]that provides a big clue to its function. 0:01:12.137,0:01:15.887 Most neurotransmitters [br]travel from one neuron to the next 0:01:15.887,0:01:19.457 through a synapse to propagate a message. 0:01:19.457,0:01:23.223 But endocannabinoids [br]travel in the opposite direction. 0:01:23.223,0:01:26.716 When a message passes [br]from the one neuron to the next, 0:01:26.716,0:01:30.631 the receiving neuron [br]releases endocannabinoids. 0:01:30.631,0:01:33.608 Those endocannabinoids [br]travel backward 0:01:33.608,0:01:35.748 to influence the sending neuron— 0:01:35.748,0:01:40.416 essentially giving it feedback [br]from the receiving neuron. 0:01:40.416,0:01:44.496 This leads scientists [br]to believe that the endocannabinoid system 0:01:44.496,0:01:48.294 serves primarily [br]to modulate other kinds of signals— 0:01:48.294,0:01:51.832 amplifying some and diminishing others. 0:01:51.832,0:01:57.156 Feedback from endocannabinoids [br]slows down rates of neural signaling. 0:01:57.156,0:01:59.088 That doesn’t necessarily mean 0:01:59.088,0:02:01.918 it slows down behavior [br]or perception, though. 0:02:01.918,0:02:05.978 For example, [br]slowing down a signal that inhibits smell 0:02:05.978,0:02:09.652 could actually make smells more intense. 0:02:09.652,0:02:13.497 Marijuana contains [br]two main active compounds, 0:02:13.497,0:02:21.900 tetrahydrocannabinol or THC, [br]and cannabidiol, or CBD. 0:02:21.900,0:02:27.605 THC is thought to be primarily responsible[br]for marijuana’s psychoactive effects 0:02:27.605,0:02:30.471 on behavior, cognition, and perception, 0:02:30.471,0:02:35.413 while CBD is responsible [br]for the non-psychoactive effects. 0:02:35.413,0:02:37.773 Like endocannabinoids, 0:02:37.773,0:02:43.361 THC slows down signaling [br]by binding to cannabinoid receptors. 0:02:43.361,0:02:47.474 But it binds to receptors [br]all over this sprawling, diffuse system 0:02:47.474,0:02:48.324 at once, 0:02:48.324,0:02:52.294 whereas endocannabinoids [br]are released in a specific place 0:02:52.294,0:02:55.221 in response to a specific stimulus. 0:02:55.221,0:02:58.021 This widespread activity [br]coupled with the fact 0:02:58.021,0:03:02.421 that the cannabinoid system[br]indirectly affects many other systems, 0:03:02.421,0:03:06.560 means that each person’s [br]particular brain chemistry, genetics, 0:03:06.560,0:03:08.940 and previous life experience 0:03:08.940,0:03:11.989 largely determine [br]how they experience the drug. 0:03:11.989,0:03:16.099 That’s true much more so with marijuana [br]than with other drugs 0:03:16.099,0:03:20.731 that produce their effects [br]through one or a few specific pathways. 0:03:20.731,0:03:26.170 So the harmful effects, if any, [br]vary considerably from person to person. 0:03:26.170,0:03:28.730 And while we don’t know [br]how exactly how marijuana 0:03:28.730,0:03:31.213 produces specific harmful effects, 0:03:31.213,0:03:34.859 there are clear risk factors [br]that can increase peoples’ likelihood 0:03:34.859,0:03:37.036 of experiencing them. 0:03:37.036,0:03:40.003 The clearest risk factor is age. 0:03:40.003,0:03:42.133 In people younger than 25, 0:03:42.133,0:03:46.113 cannabinoid receptors [br]are more concentrated in the white matter 0:03:46.113,0:03:48.533 than in people over 25. 0:03:48.533,0:03:51.620 The white matter [br]is involved in communication, 0:03:51.620,0:03:54.870 learning, memory, and emotions. 0:03:54.870,0:03:56.284 Frequent marijuana use 0:03:56.284,0:03:59.254 can disrupt the development [br]of white matter tracts, 0:03:59.254,0:04:03.438 and also affect the brain’s ability [br]to grow new connections. 0:04:03.438,0:04:08.091 This may damage long-term learning ability[br]and problem solving. 0:04:08.091,0:04:11.482 For now, it’s unclear [br]how severe this damage can be 0:04:11.482,0:04:13.082 or whether it’s reversible. 0:04:13.082,0:04:14.849 And even among young people, 0:04:14.849,0:04:17.889 the risk is higher the younger someone is— 0:04:17.889,0:04:22.515 much higher for a 15 year old [br]than a 22 year old, for instance. 0:04:22.515,0:04:27.112 Marijuana can also cause hallucinations [br]or paranoid delusions. 0:04:27.112,0:04:29.842 Known as marijuana-induced psychosis, 0:04:29.842,0:04:33.845 these symptoms usually subside [br]when a person stops using marijuana. 0:04:33.845,0:04:37.284 But in rare cases, [br]psychosis doesn’t subside, 0:04:37.284,0:04:41.706 instead unmasking [br]a persistent psychotic disorder. 0:04:41.706,0:04:46.246 A family history of psychotic disorders, [br]like schizophrenia, 0:04:46.246,0:04:49.427 is the clearest, though not the only, [br]risk factor for this effect. 0:04:49.427,0:04:53.955 Marijuana-induced psychosis [br]is also more common among young adults, 0:04:53.955,0:04:56.469 though it’s worth noting [br]that psychotic disorders 0:04:56.469,0:04:59.199 usually surface in this age range anyway. 0:04:59.199,0:05:03.093 What’s unclear in these cases [br]is whether the psychotic disorder 0:05:03.093,0:05:05.399 would have appeared [br]without marijuana use— 0:05:05.399,0:05:07.989 whether marijuana use triggers it early, 0:05:07.989,0:05:12.243 is a catalyst for a tipping point [br]that wouldn’t have been crossed otherwise, 0:05:12.243,0:05:15.964 or whether the reaction [br]to marijuana is merely an indication 0:05:15.964,0:05:18.174 of an underlying disorder. 0:05:18.174,0:05:23.391 In all likelihood, marijuana’s role [br]varies from person to person. 0:05:23.391,0:05:25.941 At any age, as with many other drugs, 0:05:25.941,0:05:27.238 the brain and body 0:05:27.238,0:05:31.208 become less sensitive [br]to marijuana after repeated uses, 0:05:31.208,0:05:35.108 meaning it takes more [br]to achieve the same effects. 0:05:35.108,0:05:37.939 Fortunately, unlike many other drugs, 0:05:37.939,0:05:41.229 there’s no risk of fatal overdose [br]from marijuana, 0:05:41.229,0:05:44.204 and even heavy use [br]doesn’t lead to debilitating 0:05:44.204,0:05:48.273 or life-threatening [br]withdrawal symptoms if use stops. 0:05:48.273,0:05:52.176 There are more subtle forms [br]of marijuana withdrawal, though, 0:05:52.176,0:05:56.851 including sleep disturbances, [br]irritability, and depressed mood, 0:05:56.851,0:06:00.661 which pass [br]within a few weeks of stopping use. 0:06:00.661,0:06:03.220 So is marijuana bad for your brain? 0:06:03.220,0:06:05.340 It depends who you are. 0:06:05.340,0:06:08.858 But while some risk factors [br]are easy to identify, 0:06:08.858,0:06:11.128 others aren’t well understood— 0:06:11.128,0:06:16.077 which means there’s still some possibility[br]of experiencing negative effects, 0:06:16.077,0:06:19.777 even if you don’t have [br]any of the known risk factors.