Quick answer
Cannabis use disorder affected an estimated 19.2 million people nationally in 2023, and in Polk County about 9 percent of high school students used marijuana in the past 30 days in 2024. There is no FDA-approved medication, so treatment is behavioral - CBT, motivational enhancement, and contingency management.
Cannabis use disorder is a medical pattern of harm, not a moral label, and it is treatable. Most people who use cannabis do not develop a use disorder. Some do, and the people who find that out are usually the ones who have already tried to cut back and could not. In Polk County, youth marijuana use has been falling for a decade, which makes the local picture better than it was - but it also means the adults who need help often feel invisible. Here is what the data show and where to find care.
If someone has severe vomiting, chest pain, trouble breathing, or will not wake, call 911. For a mental health or substance use crisis, call or text 988.
How do you treat marijuana use disorder in Lakeland?
It depends on the pattern and what sits underneath it. If cannabis use is costing you a job, a relationship, or your sleep, and you have already tried to cut back, a structured outpatient program that runs cognitive behavioral therapy or contingency management is the strongest first step. If anxiety, depression, or trauma is driving the use, care that treats both at once - sometimes called dual diagnosis - matters more than a cannabis-specific program. If you also drink heavily or take benzodiazepines, do not stop those on your own; that withdrawal can be dangerous and needs medical supervision. There is no medication for cannabis itself, so the therapy is the treatment.
What the local data show
The 2024 Florida Youth Substance Abuse Survey gives the clearest county-level picture for Polk County:
- 9.0 percent of high school students and 2.5 percent of middle school students used marijuana or hashish in the past 30 days.
- 21.9 percent of high school students had used marijuana or hashish at least once in their lifetime.
- Past-30-day marijuana vaping was 6.9 percent among high school students.
- 9.3 percent of high school students had used delta-8 or delta-10 THC products.
- Only 30.9 percent of high school students saw "marijuana once or twice a week" as a great risk of harm - far lower than their view of daily alcohol use.
Statewide, the FYSAS state report found past-30-day marijuana use among all students dropped from 12.4 percent in 2014 to 6.3 percent in 2024. Lakeland has about 124,990 residents and Polk County about 852,878 (U.S. Census Bureau estimates, as of July 2024).
Is recreational marijuana legal in Florida?
No. Florida voters rejected Amendment 3 on November 5, 2024, with 55.9 percent voting yes - a clear majority, but short of the 60 percent supermajority the state constitution requires for citizen-initiated amendments, per Ballotpedia's results. Possessing cannabis without a medical marijuana card remains a criminal offense in Florida. Medical marijuana is legal for qualifying patients, but a card and legal possession are a different question from whether your use has become a problem - and only the second one brings people to treatment.
Medications: what does not exist yet
There is no FDA-approved medication for cannabis use disorder or for medically assisted cannabis withdrawal. NIDA states that clearly, and research continues. That does not mean nothing helps; it means the evidence base today is behavioral, and any medicine a clinician uses is for co-occurring problems such as sleep, anxiety, or depression rather than as a named cannabis treatment. Do not borrow someone else's prescription.
Behavioral therapies that have evidence
NIDA lists three behavioral approaches with evidence for cannabis use disorder:
- Cognitive behavioral therapy (CBT) helps you notice and handle the situations where you are most likely to use, and build coping skills for craving and stress.
- Motivational enhancement therapy (MET) works with your own reasons for change rather than arguing you into readiness.
- Contingency management (CM) uses rewards or privileges for specific goals, such as attending sessions or providing negative drug tests.
How common is the disorder? SAMHSA's 2023 survey estimated that 61.8 million people aged 12 or older used marijuana in the past year, and that 19.2 million had a past-year marijuana use disorder. Most of those cases were mild; about one in five were severe. NIDA also notes that average THC in seized cannabis rose from about 4 percent in 1995 to about 16 percent in 2022, and that higher concentrations are linked to a greater chance that use progresses to a disorder.
Withdrawal and cannabinoid hyperemesis syndrome
Withdrawal can follow a sharp cut in heavy or long-term use even without a diagnosis. NIDA lists irritability, anxiety, restlessness, lower appetite, depression, insomnia, strange dreams, headaches, sweating, and abdominal pain. Not everyone gets every symptom. Tell a clinician if sleep, mood, or appetite gets markedly worse after a cut. Do not also stop alcohol or a benzodiazepine on your own.
Cannabinoid hyperemesis syndrome (CHS) is repeated nausea, vomiting, and abdominal pain after long-term, heavy cannabis use; people sometimes stand in a hot shower for temporary relief. It resolves when cannabis stops completely and often needs medical attention. Severe vomiting, confusion, or an inability to keep fluids down belongs in emergency care - call 911. If your mood turns dark and includes thoughts of suicide, call or text 988.
Treatment options around Lakeland
Within 30 miles of downtown Lakeland (ZIP 33801), the SAMHSA treatment locator lists 26 substance use treatment facilities in a mid-October 2026 pull, including 23 offering outpatient care, 6 offering detoxification, and 8 with residential programs. Because cannabis treatment is therapy-based, the questions that separate programs are: Do you run cognitive behavioral therapy or contingency management? How many sessions a week? How soon can I start? Citrus Connection buses cover Lakeland and Winter Haven if you will attend several visits a week without a car.
Paying for treatment in Polk County
Florida Medicaid (AHCA) covers medically necessary substance use disorder treatment, including outpatient and residential care, through Statewide Medicaid Managed Care plans for eligible members. Florida has not expanded Medicaid, so many working-age adults do not qualify. If you are uninsured, Central Florida Behavioral Health Network (CFBHN), the Florida DCF Managing Entity for Polk County, coordinates state-funded assessment and treatment slots. Private and Marketplace plans must cover substance use care under federal parity rules.
How to start today
- For severe vomiting, chest pain, trouble breathing, or someone who will not wake, call 911. For a mental health or substance use crisis, call or text 988.
- Call or text (800) 653-9376 to speak with a treatment specialist, or use this form:
Calling is free; the referral service is paid for by treatment providers, and we check your benefits before you commit.
- Search findtreatment.gov with ZIP code 33801 and filter for outpatient or intensive outpatient care.
- Ask each program whether it offers cognitive behavioral therapy or contingency management for cannabis use.
Cannabis use disorder is treatable, and Polk County has the outpatient depth to start this week. Reaching out is a reasonable first step, and you do not have to have a plan before you call.
This page is general health information, not medical advice. It is not affiliated with or endorsed by any facility named above.
Other Marijuana treatment in Florida: Marijuana treatment in Daytona Beach, Florida, Marijuana treatment in Fort Lauderdale, Florida, Marijuana treatment in Fort Myers, Florida, Marijuana treatment in Gainesville, Florida, Marijuana treatment in Jacksonville, Florida, Marijuana treatment in Miami, Florida, Marijuana treatment in Ocala, Florida, Marijuana treatment in Orlando, Florida, Marijuana treatment in Pensacola, Florida, Marijuana treatment in Sarasota, Florida, Marijuana treatment in St Petersburg, Florida, Marijuana treatment in Tallahassee, Florida.
Last updated: Wed Oct 21 2026 00:00:00 GMT+0000 (Coordinated Universal Time)
Frequently asked questions
How common is marijuana use among Polk County teens?
The 2024 Florida Youth Substance Abuse Survey found that 9.0 percent of Polk County high school students and 2.5 percent of middle school students used marijuana or hashish in the past 30 days. Lifetime use was 21.9 percent among high schoolers. Marijuana vaping in the past 30 days was 6.9 percent among high school students.
Is recreational marijuana legal in Florida?
No. Florida voters rejected Amendment 3 in November 2024 with 55.9 percent in favor, short of the 60 percent supermajority the state constitution requires for citizen-initiated amendments. Possessing cannabis without a medical marijuana card remains a criminal offense. Medical marijuana is legal for qualifying patients under Florida's program.
Is there an FDA-approved medication for cannabis use disorder?
No. NIDA states there are currently no FDA-approved medications for cannabis use disorder or for medically assisted cannabis withdrawal. Research is ongoing. Care that has evidence behind it is behavioral: cognitive behavioral therapy, motivational enhancement therapy, and contingency management.
Can you have withdrawal without a diagnosis?
Yes. NIDA says withdrawal can follow a sharp drop in heavy or long-term use even when the person does not meet criteria for cannabis use disorder. Symptoms can include irritability, anxiety, sleep trouble, low appetite, and stomach pain. Tell a clinician if symptoms are severe, and do not also stop alcohol or a benzodiazepine on your own.
What is cannabinoid hyperemesis syndrome?
NIDA describes it as repeated nausea, vomiting, and abdominal pain after long-term, heavy cannabis use. Hot showers may ease symptoms for a while. The syndrome resolves when cannabis stops completely and often needs medical care. Severe vomiting, confusion, or an inability to keep fluids down belongs in emergency care - call 911.
How many treatment facilities near Lakeland treat cannabis use disorder?
The SAMHSA FindTreatment.gov locator lists 26 substance use treatment facilities within 30 miles of downtown Lakeland in a mid-October 2026 pull, including 23 offering outpatient care. Cannabis treatment is therapy-based, so ask each program how many sessions a week it provides and whether it offers cognitive behavioral therapy or contingency management.