As cannabis becomes more prominent in society, families benefit from engaging in open, honest conversations about its use. Whether discussing medical marijuana, the legal retail sale of cannabis products, curiosity about what it does, or concerns about cannabis use disorder, parents and adults need awareness and factual information. Ultimately, these conversations can help ensure that everyone, particularly youth and teens, understands the risks, benefits, and consequences of cannabis use. Here, we’ll explore how to initiate these conversations and address key cannabis-related issues. For example, we’ll cover conversations about social and legal implications and how cannabis compares to other substances like alcohol and tobacco.

Why conversations about cannabis matter

Cannabis, like other substances, has a range of effects on the brain and body. While many adults use cannabis regularly for recreational or medical purposes, others worry that it can lead to dependency, especially among younger people. However, when parents talk openly with their children about cannabis use, they help dispel myths and ensure that young people stay informed about the real risks and benefits. For instance, parents can inform their families that regular cannabis use has been linked to mental health issues in adolescents, such as depression and anxiety. Even more concerning, studies indicate that cannabis may potentially exacerbate the manifestation of more severe conditions like schizophrenia and bipolar disorder in individuals with a family history of these mental illnesses [1]. Hence, current information about studies and perspectives can help family members make informed decisions.

Moreover, open communication can help families discuss the different uses surrounding cannabis, including medical marijuana. For example, sometimes cannabis is prescribed to patients to manage various conditions [2]. While medical cannabis may benefit some, parents need to explain that smoking cannabis regularly can have negative effects, especially in youth whose brains are still developing [1]. These conversations should also extend to other substances, such as tobacco and alcohol, which may have similar health risks and legal consequences. [3]

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Health effects and public health concerns

Typically, cannabis smoke, like tobacco smoke, contains chemicals that may have a negative impact on lung health. While research is still ongoing, some studies suggest that long-term exposure to cannabis smoke can lead to respiratory issues. Individuals who already use tobacco may be particularly vulnerable to these outcomes, as the combination of tobacco use and cannabis use can amplify the risks. Additionally, some people may believe that smoking cannabis is safer than using other substances. Though this may be true in some cases, it’s important to discuss the health effects of both short-term and long-term cannabis use [4].

Families should stay informed about the public health issues related to cannabis regarding the possibility that its use can lead to substance use disorders. Individuals with a family history of addiction or mental health challenges may be more vulnerable to developing this condition. Notably, cannabis use disorder is a condition in which a person becomes dependent on cannabis, leading to social, professional, or personal problems. Typically, signs of cannabis use disorder include heavy cannabis use, withdrawal symptoms, or using cannabis despite its negative impact on life [5].

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The risks and consequences of cannabis use

Parents should also help their children understand the legal risks and social consequences of cannabis use. For instance, they can explain that even though adult use of marijuana is legal in many states, using cannabis underage is unlawful. Also, parents can inform their families that using cannabis in a way that impairs the ability to function, such as driving or operating heavy machinery, can bring serious consequences. Typically, the legal age for cannabis use in most areas is 21, similar to alcohol [6].

For teens, regular cannabis use can have significant mental and physical health effects, especially during their critical developmental years. Indeed, research has shown that using cannabis at a young age can interfere with memory, concentration, and learning abilities. In turn, this may lead to poor academic performance and other challenges [1]. Also, parents should talk openly about how consuming or smoking cannabis, even once, can stay in the system for several days, making it detectable in drug tests used by schools, jobs, or sports teams.

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Discussing cannabis in relation to other substances and addictions

When starting conversations about cannabis, it’s important to place it in the context of other substances that may also pose risks. For example, whippets (inhalants), alcohol, and opioids, such as those found in methadone clinics, are substances that carry their own risks [7]. In other words, parents can use these comparisons to highlight the importance of being mindful of any substance use and the dangers of developing substance use disorders.

Three generation family discusses cannabis at dinner table. Sparking Healthy Conversations About Cannabis at Home

Additionally, families may benefit from discussing the role of medications and how they may interact with cannabis. For example, individuals who take prescription drugs for mental health conditions like depression or anxiety should be aware of how cannabis use can affect their treatment [8]. Also, fentanyl test strips, which individuals can use to detect the presence of dangerous opioids in unregulated drugs, serve as another example of the importance of sharing information [9].

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Addressing cannabis and mental health

Conversations about cannabis should also include discussions of mental health. While cannabis can provide relief for adult patients with certain conditions, it can also exacerbate issues like social anxiety, depression, and even schizophrenia in vulnerable individuals. Thus, parents should encourage their children to be aware of their own mental health. For instance, they may suggest seeking counseling or medical advice if they experience negative effects from cannabis use. Sometimes, parents observe troubling behavior related to teen cannabis use. For example, they may observe antisocial behaviors, such as symptoms of porn addiction, depression, or mental health decline. In these cases, parents should seek the advice of a doctor or mental health professional [10].

Cannabis use may also influence how a person interacts with other substances, including alcohol and tobacco. For instance, combining substances, such as alcohol and cannabis, can heighten their effects and increase the risk of accidents, impaired judgment, or overdose. Ultimately, these risks underscore the need for careful, responsible use of cannabis and other substances [11].

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The role of the cannabis industry and legalization

The legalization of cannabis has created a booming industry, with tax revenues benefiting states and nations that have allowed retail sales. However, just because cannabis is legal in some places doesn’t mean it’s risk-free. Parents can help their children understand these issues by explaining that the legal status of cannabis varies by state and that using cannabis while underage or in a place where it’s banned has serious legal consequences [12]. Also, parents should address how much cannabis is safe for adults to use and clarify that “legal” doesn’t necessarily mean “safe” for everyone, especially young people or those with certain health conditions.

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How to create open conversations about cannabis

To effectively spark healthy conversations about cannabis at home, parents should foster an environment where all family members feel comfortable asking questions and expressing concerns. Whether the conversation is about using medical marijuana or addressing the risks of cannabis use disorder, parents should express an open, non-judgmental, and well-informed attitude [13].

Adult family members should emphasize that cannabis use is not just about health vs dependence —it’s about life choices, personal responsibility, and the ability to make informed decisions [13]. After all, the goal is to ensure that everyone in the family understands the potential consequences of cannabis use, whether it’s legal, social, or related to one’s well-being.

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Key takeaway: conversations about cannabis

As cannabis becomes more widely available, families benefit from having informed and open conversations about its use. Whether discussing the health effects of cannabis smoke, the legal and social consequences of cannabis use, or the risks of cannabis use disorder, these conversations will impact everyone. By approaching the subject with care, understanding, and credible information, families can create a foundation of trust and knowledge, ensuring that everyone, from teens to adults, understands both the benefits and risks associated with cannabis.

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Medical Disclaimer / Legal Disclaimer – Information is provided for educational purposes. It does not and is not intended to constitute legal advice or medical advice. We attempt to be accurate and up-to-date, but the legality of cannabinoids and the science of cannabis are evolving. The author is neither a legal professional nor a medical expert. Before buying or using any products, you should check with your local authorities and medical providers.

References

  1. Cannabis in Adolescence: Lasting Cognitive Alterations and Underlying Mechanisms
  2. What Is Medical Marijuana?
  3. Tobacco, Alcohol, and Cannabis Among Adolescents
  4. Marijuana and Lung Health
  5. Understanding Your Risk for Cannabis Use Disorder
  6. Marijuana and Teens
  7. High-Risk Substance Use Among Youth
  8. Clinical Overview: Cannabis May Interact With Prescription Medications
  9. Protecting Our Communities — What is Fentanyl?
  10. Does Your Teen Need Marijuana Addiction Treatment?
  11. Interaction of Marijuana and Alcohol
  12. Legality of Cannabis
  13. How Do I Talk to My Teen About the Legalization of Cannabis?

Frequently Asked Questions

Start by choosing a calm, nonjudgmental moment to discuss the topic. Express curiosity or share factual information. For some, it’s helpful to frame it as a learning opportunity rather than a debate [13].

Listen to family members’ concerns openly, and research the areas of discussion. Then you can provide evidence-based information while encouraging a balanced and informed discussion [13].

Respect each person’s feelings and avoid pushing the conversation. Provide resources or revisit the discussion when they feel more comfortable. Ultimately, if you express patience and understanding, your family members may become more comfortable [13].