Patients are left with the well-recognised and permanent symptoms of memory loss, apathy, loss of motivation and, paranoid ideation. These symptoms known as “ the Amotivational Syndrome” in the past are usually permanent.
If Cannabis using resumes then the acute symptoms redevelop.
The chronic state can also be arrived at without a preceding psychotic episode. After Cannabis started to be widely used about 20 years ago, for permanent damage to occur it was felt by some that Cannabis had to be heavily used over at least three years .
However, there is accumulating evidence that smaller amount will do damage also and in animals “ deficits on tasks dependent on frontal lobe function have been reported in cannabis users” .
It is very difficult to conduct research in this area, as it is not acceptable to harm humans by doing trials with damaging substances such as Cannabis. However there is accumulating evidence of the psychological consequences of using Cannabis [8]. It is logical that to get the permanent “ Amotivational Syndrome” small amounts to damage have to accumulate incrementally.