Cannabis Strength SKYROCKETS — Doctors Sound the Alarm

As today’s cannabis products contain up to 90% THC—compared to just 4% in 1995—adolescents face unprecedented risks for mental health disorders and addiction when using high-potency marijuana.

At a Glance

  • Adolescent cannabis abuse in the U.S. has increased by approximately 245% since 2000, with edible products significantly contributing to this trend
  • High-potency cannabis (over 10% THC) is linked to depression, anxiety, and auditory hallucinations in teens, unlike lower-potency varieties
  • The risk of developing Cannabis Use Disorder is significantly higher (17%) for those who begin using in adolescence and rises to 30% for daily users
  • Cannabis use during adolescence can impair learning, memory, and brain development, with effects potentially lasting into adulthood
  • There are currently no FDA-approved medications to treat Cannabis Use Disorder, highlighting the importance of prevention

Today’s Cannabis Is Not What It Used to Be

The marijuana landscape has transformed dramatically over the past three decades. THC (tetrahydrocannabinol), the psychoactive component in cannabis, has increased from an average of 4% in 1995 to 17% in 2017, with some concentrated products now reaching a staggering 90% potency. This escalation in strength represents a fundamental shift in the nature of cannabis products available to young people, whether through legal or illegal channels. The changes have occurred so rapidly that many parents and educators remain unaware of the heightened risks these high-potency products pose to adolescent users.

According to the CDC, this increased THC concentration leads to stronger psychoactive effects and a significantly higher risk of overconsumption. Unlike decades past, when cannabis typically contained balanced ratios of THC and CBD (the non-intoxicating component with potential therapeutic benefits), today’s products often prioritize THC content while minimizing CBD. This shift has coincided with more appealing delivery methods for young people, including flavored vaping products and edibles that mask the plant’s natural taste and smell.

Rising Mental Health Concerns Among Teen Users

Recent research has established a troubling link between high-potency cannabis use in adolescents and serious mental health disorders. A study published in the journal Drug and Alcohol Dependence found that teens who use cannabis with more than 10% THC—which describes most products available today—show significantly higher rates of depression, anxiety, and auditory hallucinations compared to non-users or those who use lower-potency cannabis. These findings held true even after researchers adjusted for sociodemographic factors and other substance use.

Perhaps most concerning is the connection between adolescent cannabis use and long-term mental health outcomes. A comprehensive analysis published in JAMA Psychiatry found that cannabis use during adolescence was associated with a 37% increased risk of developing depression in young adulthood. The same study noted increased suicidal ideation and suicide attempts among those who used cannabis as teenagers. These findings are particularly alarming considering that adolescence represents a critical period for brain development.

Cannabis Use Disorder on the Rise

As cannabis potency has increased, so has the prevalence of Cannabis Use Disorder (CUD), a condition characterized by compulsive use despite negative consequences, difficulty controlling consumption, and withdrawal symptoms. According to Psychology Today, the risk of developing CUD is approximately 17% for those who begin using in adolescence—significantly higher than for those who start as adults. For daily users, that risk climbs to nearly 30%. The commercialization of cannabis has created products designed to maximize consumer appeal, especially to younger demographics.

Emergency department visits related to cannabis intoxication and psychosis have increased substantially, with people aged 15-24 accounting for a disproportionate share of these cases. Despite this growing public health concern, there are currently no FDA-approved medications specifically for treating CUD. Treatment options focus primarily on behavioral interventions and supportive care, highlighting the importance of prevention over treatment when it comes to adolescent cannabis use.

The Role of Edibles in Teen Cannabis Abuse

A study from Oregon Health & Science University revealed a staggering 245% increase in cannabis abuse among adolescents since 2000, with researchers pointing to the proliferation of edible products as a significant factor. Unlike smoking, which produces rapid effects that help users gauge their intake, edibles can take 30-60 minutes to produce effects, leading inexperienced users to consume excessive amounts while waiting to feel something. When the effects finally arrive, they can be overwhelming and last for hours.

The packaging and marketing of edible cannabis products have raised additional concerns. Colorful packaging, sweet flavors, and product forms that mimic popular candies and snacks make these high-potency products particularly appealing to younger consumers. The American Academy of Pediatrics has expressed alarm about accidental ingestion by children and intentional use by adolescents who may underestimate the potency of these products. Parents often fail to recognize these products, which can easily be mistaken for conventional snacks.

Prevention Strategies and Parental Influence

Experts emphasize that prevention remains the most effective approach to protecting adolescents from the risks associated with high-potency cannabis. Research indicates that parental attitudes and behaviors significantly influence teen cannabis use. Parents who discuss the risks of cannabis use with their children, maintain awareness of their activities, and model responsible behavior regarding substance use can reduce the likelihood of problematic cannabis use among adolescents. Setting clear expectations and maintaining open communication about substance use creates protective factors.

There is encouraging news in recent survey data showing that more young people are choosing to abstain from substance use altogether. According to data cited in Psychology Today, 67% of 12th graders abstained from cannabis use in 2024, compared to just 53% in 2017. Similar improvements were seen in 10th and 8th grades. These positive trends suggest that education about the risks of today’s high-potency cannabis products may be having an impact, even as the products themselves become more potent and more widely available through both legal and illegal channels.