1 00:00:06,224 --> 00:00:07,724 In 1970, 2 00:00:07,724 --> 00:00:13,144 marijuana was classified as a schedule 1 drug in the United States: 3 00:00:13,144 --> 00:00:15,737 the strictest designation possible, 4 00:00:15,737 --> 00:00:20,779 meaning it was completely illegal and had no recognized medical uses. 5 00:00:20,779 --> 00:00:23,529 For decades, this view persisted 6 00:00:23,529 --> 00:00:28,538 and set back research on the drug's mechanisms and effects. 7 00:00:28,538 --> 00:00:33,028 Today, marijuana’s therapeutic benefits are widely acknowledged, 8 00:00:33,028 --> 00:00:36,092 and some nations have legalized medical use 9 00:00:36,092 --> 00:00:38,482 or are moving in that direction. 10 00:00:38,482 --> 00:00:42,381 But a growing recognition for marijuana’s medical value 11 00:00:42,381 --> 00:00:44,081 doesn’t answer the question: 12 00:00:44,081 --> 00:00:49,095 is recreational marijuana use bad for your brain? 13 00:00:49,095 --> 00:00:52,805 Marijuana acts on the body’s cannabinoid system, 14 00:00:52,805 --> 00:00:56,445 which has receptors all over the brain and body. 15 00:00:56,445 --> 00:01:01,036 Molecules native to the body, called endocannabinoids, 16 00:01:01,036 --> 00:01:03,696 also act on these receptors. 17 00:01:03,696 --> 00:01:07,471 We don’t totally understand the cannabinoid system, 18 00:01:07,471 --> 00:01:12,137 but it has one feature that provides a big clue to its function. 19 00:01:12,137 --> 00:01:15,887 Most neurotransmitters travel from one neuron to the next 20 00:01:15,887 --> 00:01:19,457 through a synapse to propagate a message. 21 00:01:19,457 --> 00:01:23,223 But endocannabinoids travel in the opposite direction. 22 00:01:23,223 --> 00:01:26,716 When a message passes from the one neuron to the next, 23 00:01:26,716 --> 00:01:30,631 the receiving neuron releases endocannabinoids. 24 00:01:30,631 --> 00:01:33,608 Those endocannabinoids travel backward 25 00:01:33,608 --> 00:01:35,748 to influence the sending neuron— 26 00:01:35,748 --> 00:01:40,416 essentially giving it feedback from the receiving neuron. 27 00:01:40,416 --> 00:01:44,496 This leads scientists to believe that the endocannabinoid system 28 00:01:44,496 --> 00:01:48,294 serves primarily to modulate other kinds of signals— 29 00:01:48,294 --> 00:01:51,832 amplifying some and diminishing others. 30 00:01:51,832 --> 00:01:57,156 Feedback from endocannabinoids slows down rates of neural signaling. 31 00:01:57,156 --> 00:01:59,088 That doesn’t necessarily mean 32 00:01:59,088 --> 00:02:01,918 it slows down behavior or perception, though. 33 00:02:01,918 --> 00:02:05,978 For example, slowing down a signal that inhibits smell 34 00:02:05,978 --> 00:02:09,652 could actually make smells more intense. 35 00:02:09,652 --> 00:02:13,497 Marijuana contains two main active compounds, 36 00:02:13,497 --> 00:02:21,900 tetrahydrocannabinol or THC, and cannabidiol, or CBD. 37 00:02:21,900 --> 00:02:27,605 THC is thought to be primarily responsible for marijuana’s psychoactive effects 38 00:02:27,605 --> 00:02:30,471 on behavior, cognition, and perception, 39 00:02:30,471 --> 00:02:35,413 while CBD is responsible for the non-psychoactive effects. 40 00:02:35,413 --> 00:02:37,773 Like endocannabinoids, 41 00:02:37,773 --> 00:02:43,361 THC slows down signaling by binding to cannabinoid receptors. 42 00:02:43,361 --> 00:02:47,474 But it binds to receptors all over this sprawling, diffuse system 43 00:02:47,474 --> 00:02:48,324 at once, 44 00:02:48,324 --> 00:02:52,294 whereas endocannabinoids are released in a specific place 45 00:02:52,294 --> 00:02:55,221 in response to a specific stimulus. 46 00:02:55,221 --> 00:02:58,021 This widespread activity coupled with the fact 47 00:02:58,021 --> 00:03:02,421 that the cannabinoid system indirectly affects many other systems, 48 00:03:02,421 --> 00:03:06,560 means that each person’s particular brain chemistry, genetics, 49 00:03:06,560 --> 00:03:08,940 and previous life experience 50 00:03:08,940 --> 00:03:11,989 largely determine how they experience the drug. 51 00:03:11,989 --> 00:03:16,099 That’s true much more so with marijuana than with other drugs 52 00:03:16,099 --> 00:03:20,731 that produce their effects through one or a few specific pathways. 53 00:03:20,731 --> 00:03:26,170 So the harmful effects, if any, vary considerably from person to person. 54 00:03:26,170 --> 00:03:28,730 And while we don’t know how exactly how marijuana 55 00:03:28,730 --> 00:03:31,213 produces specific harmful effects, 56 00:03:31,213 --> 00:03:34,859 there are clear risk factors that can increase peoples’ likelihood 57 00:03:34,859 --> 00:03:37,036 of experiencing them. 58 00:03:37,036 --> 00:03:40,003 The clearest risk factor is age. 59 00:03:40,003 --> 00:03:42,133 In people younger than 25, 60 00:03:42,133 --> 00:03:46,113 cannabinoid receptors are more concentrated in the white matter 61 00:03:46,113 --> 00:03:48,533 than in people over 25. 62 00:03:48,533 --> 00:03:51,620 The white matter is involved in communication, 63 00:03:51,620 --> 00:03:54,870 learning, memory, and emotions. 64 00:03:54,870 --> 00:03:56,284 Frequent marijuana use 65 00:03:56,284 --> 00:03:59,254 can disrupt the development of white matter tracts, 66 00:03:59,254 --> 00:04:03,438 and also affect the brain’s ability to grow new connections. 67 00:04:03,438 --> 00:04:08,091 This may damage long-term learning ability and problem solving. 68 00:04:08,091 --> 00:04:11,482 For now, it’s unclear how severe this damage can be 69 00:04:11,482 --> 00:04:13,082 or whether it’s reversible. 70 00:04:13,082 --> 00:04:14,849 And even among young people, 71 00:04:14,849 --> 00:04:17,889 the risk is higher the younger someone is— 72 00:04:17,889 --> 00:04:22,515 much higher for a 15 year old than a 22 year old, for instance. 73 00:04:22,515 --> 00:04:27,112 Marijuana can also cause hallucinations or paranoid delusions. 74 00:04:27,112 --> 00:04:29,842 Known as marijuana-induced psychosis, 75 00:04:29,842 --> 00:04:33,845 these symptoms usually subside when a person stops using marijuana. 76 00:04:33,845 --> 00:04:37,284 But in rare cases, psychosis doesn’t subside, 77 00:04:37,284 --> 00:04:41,706 instead unmasking a persistent psychotic disorder. 78 00:04:41,706 --> 00:04:46,246 A family history of psychotic disorders, like schizophrenia, 79 00:04:46,246 --> 00:04:49,427 is the clearest, though not the only, risk factor for this effect. 80 00:04:49,427 --> 00:04:53,955 Marijuana-induced psychosis is also more common among young adults, 81 00:04:53,955 --> 00:04:56,469 though it’s worth noting that psychotic disorders 82 00:04:56,469 --> 00:04:59,199 usually surface in this age range anyway. 83 00:04:59,199 --> 00:05:03,093 What’s unclear in these cases is whether the psychotic disorder 84 00:05:03,093 --> 00:05:05,399 would have appeared without marijuana use— 85 00:05:05,399 --> 00:05:07,989 whether marijuana use triggers it early, 86 00:05:07,989 --> 00:05:12,243 is a catalyst for a tipping point that wouldn’t have been crossed otherwise, 87 00:05:12,243 --> 00:05:15,964 or whether the reaction to marijuana is merely an indication 88 00:05:15,964 --> 00:05:18,174 of an underlying disorder. 89 00:05:18,174 --> 00:05:23,391 In all likelihood, marijuana’s role varies from person to person. 90 00:05:23,391 --> 00:05:25,941 At any age, as with many other drugs, 91 00:05:25,941 --> 00:05:27,238 the brain and body 92 00:05:27,238 --> 00:05:31,208 become less sensitive to marijuana after repeated uses, 93 00:05:31,208 --> 00:05:35,108 meaning it takes more to achieve the same effects. 94 00:05:35,108 --> 00:05:37,939 Fortunately, unlike many other drugs, 95 00:05:37,939 --> 00:05:41,229 there’s no risk of fatal overdose from marijuana, 96 00:05:41,229 --> 00:05:44,204 and even heavy use doesn’t lead to debilitating 97 00:05:44,204 --> 00:05:48,273 or life-threatening withdrawal symptoms if use stops. 98 00:05:48,273 --> 00:05:52,176 There are more subtle forms of marijuana withdrawal, though, 99 00:05:52,176 --> 00:05:56,851 including sleep disturbances, irritability, and depressed mood, 100 00:05:56,851 --> 00:06:00,661 which pass within a few weeks of stopping use. 101 00:06:00,661 --> 00:06:03,220 So is marijuana bad for your brain? 102 00:06:03,220 --> 00:06:05,340 It depends who you are. 103 00:06:05,340 --> 00:06:08,858 But while some risk factors are easy to identify, 104 00:06:08,858 --> 00:06:11,128 others aren’t well understood— 105 00:06:11,128 --> 00:06:16,077 which means there’s still some possibility of experiencing negative effects, 106 00:06:16,077 --> 00:06:19,777 even if you don’t have any of the known risk factors.