Brief Answer:
To large extent it is reversible

Detailed Answer:
Hello,
Thanks for using healthcaremagic.

I read your query and understand your concerns. First of all it is not possible to determine whether it was bhang which brought the depression or other way around. Many patients when feel depressed they search for something to get themselves upto mark and substance abuse is most common among which bhang features prominence due to its wide availability.

The symptoms mentioned over here are indicative of depression or amotivation syndrome. Whatever the symptoms they are largely treatable and he will recover to a great extent over time. Cannabis is not known to cause some irreversible damage to brain although few cases do not recover completely.

I must inform you that stopping bhang is extremely important for better recovery as long term use can cause more damage which becomes difficult to treat over time.

I hope this helps you.
If you have any further query, I would be glad to help you.
If not, you may close the discussion and if possible you may rate the answer for me, so that I get a good feedback.
In future if you wish to contact me directly, you can use the below mentioned link:
http://doctor.healthcaremagic.com/doctors/dr-ashok-kumar/67386
Thanks and regards

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Brief Answer:
Not much role of psychotherapy at this stage

Detailed Answer:
Dear XXXX,
Thanks for reverting back to me.

If he is not using bhang I do not feel rehabilitation center is required to involve in his treatment process.

Similarly cannabis induced depression is better treated with medication rather than psychotherey. In case there are residual symptoms after adequate treatment psychotherapy can be used for those residual symptoms.

I do not think that information is applicable for someone who used cannabis for just one year. The irreversible changes tend to take a decade rather than a year. So it can be said that the information over internet is correct but not applicable to your brother.

I hope this clarifies.
Thanks and regards

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Brief Answer:
There is no special diet

Detailed Answer:
Hello,
Thanks for reverting back to me.

His current treatment is correct as per his diagnosis is concerned and there is possibility of good improvement over a period of six to twelve weeks. For treatment of cannabis induced psychosis it is right treatment although I feel that Omesec RD can be removed if he doses not have any gastritis or gas problem.


Regarding diet it is important to follow low calorie diet and there is need to avoid high fats and sugar. In addition to that a regular physical exercise will be optimum for better recovery.

Hope I am able to answer your concerns.
Thanks and regards

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Brief Answer:
I think there is need for neurological evaluation

Detailed Answer:
Hello,
Thanks for follow up.

I think MRI brain is required as he is having few symptoms which can not be explained on basis of cannabis alone as mentioned in question 2 and 3 and two in particular as incontinence can be explained on the basis of excessive sedation caused by current treatment. It is also possibly a side effect of lithium which causes increase volume of urine. The difficulty in holding can also be due to side effects of lithim as it causes tremor.

Having said this I feel there is need for complete neurological evaluation along with MRI brain so if anything hidden can be explored and corrective measures can be take.

Regarding exercise yes morning walk have definite value and it should be encouraged by all possible means. Brisk walk is best form of exercise.

Proper medication and avoidance of cannabis while having healthy life style with good diet and exercise is key to recovery.

I hope this helps you.
Thanks and regards

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