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Am I Sober If I Just Smoke Medical Marijuana?

ADVANCE MINDS • April 13, 2025

Advance Minds Blog

A safe space to explore subjects within the community such as mental health, substance abuse and personal identity.
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The question of whether someone is "sober" if they still use medical marijuana is complex and often debated

It depends on context, intention, and individual treatment goals. Let’s break it down.


🧠 Understanding Sobriety
Traditionally, sobriety means abstaining from all mind-altering substances, especially for those in recovery from addiction.

Many 12-step programs and recovery models define sobriety as total abstinence.

However, modern approaches to recovery recognize that each person’s journey is different.


🩺 Medical Use vs. Recreational Use
There’s a significant difference between using marijuana under medical supervision and recreational use.

Medical marijuana may be prescribed for chronic pain, PTSD, anxiety, or other health issues.

In these cases, it may be seen more like a medication than a recreational drug—especially if it's being used responsibly and as directed by a doctor.


⚖️ Grey Areas in Recovery
For individuals in recovery from substance use disorders, using marijuana—medical or not—can be a slippery slope. It may trigger cravings, mask unresolved issues, or lead to dependency over time.

That’s why many treatment centers encourage total abstinence.


💬 Personal Intentions Matter
Ask yourself:

  • Why am I using marijuana?
  • Is it helping or harming my recovery?
  • Am I using it to avoid dealing with emotions or challenges?
  • Am I being honest with myself and my support system about my use?


🏥 Talk to Your Treatment Provider
Open and honest communication with your healthcare team or therapist is essential.

They can help you weigh the risks, monitor your use, and decide whether marijuana use fits your recovery goals.


Final thoughts:
Whether or not you’re “sober” if you use medical marijuana depends on your personal recovery path, medical needs, and intentions.

What matters most is honesty, safety, and a commitment to healing.

Everyone’s journey is different—find what works best for you and stay true to your goals.

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